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Canyon Springs Medical Group, Inc.

Family Medicine Physician in Moreno Valley, CA · enumerated 2007 · authorized official Faheem Jukaku, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073669404

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Registry record

Entity type Organization (Type 2)
Legal business name Canyon Springs Medical Group, Inc.
Practice address 26520 Cactus Ave Rm B2018, Moreno Valley, CA, 92555
Fax (951) 486-5620
Enumeration date Jan 26, 2007
Last updated in NPPES Apr 23, 2018

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Faheem Jukaku
Title President

Other identifiers

Identifier Type State Issuer
GR0088740 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Canyon Springs Medical Group, Inc. located?
The practice location on file with NPPES is in Moreno Valley, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-04-23. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-23.