OrganizationActive
Canyon Gate Medical Group
NPI 1811229602 · Internal Medicine Physician · Henderson, NV
Provider details
- NPI number
- 1811229602
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ricki Moskow, President(954) 656-8855
- License
- 12804 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
283 N Pecos Rd
Henderson, NV 89074-1918
Phone: (702) 430-3570
Street-level locationGet directions
Mailing address
2929 N University Dr
Coral Springs, FL 33065-5081
Registry dates
- Enumerated
- 2010-02-04
- Last updated
- 2010-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.