NPIMap

Organization Active NPI

Canyon View Medical Group LLC

Doing business as Santaquin Medical C linic

  • Family Medicine Physician
  • Santaquin, UT
National Provider Identifier
1164580890
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CANYON VIEW MEDICAL GROUP LLC
Doing business as
Santaquin Medical C linic
Practice address
94 W Main St
Santaquin, UT 84655
Phone
(801) 754-3122
Fax
(801) 754-0197
NPI assigned
Dec 5, 2006
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Aaron Lowe
Title
Administrator
Phone
(801) 798-7301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

94 W Main St
Santaquin, UT 84655

Mailing address

325 W Center St
Spanish Fork, UT 84660-2060
Phone (801) 798-7301

Other names 1

  • Santaquin Medical C linic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000226 UT Part B Supplier - Clinic/Group Practice 9739084351 Receives reassigned benefits from 33 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Salem, UT; Santaquin, UT; Spanish Fork, UT; Springville, UT; Mapleton, UT

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1164580890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W CENTER ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602060",
            "telephone_number": "801-798-7301",
            "fax_number": "801-798-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 W MAIN ST",
            "city": "SANTAQUIN",
            "state": "UT",
            "postal_code": "84655",
            "telephone_number": "801-754-3122",
            "fax_number": "801-754-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON VIEW MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-798-7301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santaquin Medical C linic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Santaquin Medical C linic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santaquin, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.