Johnathan Ryan Taitano, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO2144 Issued in NV

Practice address

2208 S Nellis Blvd Ste 5
Las Vegas, NV 89104-6211

Phone

(702) 798-7770

Fax

(702) 895-7776

NPI assigned

Jun 10, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bessler MD, PLLC

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1801288774

  Family Medicine

  Medicare reassignment NPD
• Doctors Center at Red Rock Capobianco PLLC

  • Addiction Medicine (Family Medicine) Physician
  • Las Vegas, NV
  • NPI 1942688932
  Medicare reassignment NPD
• Instant Care Medical Group

  • Clinic/Center
  • Las Vegas, NV
  • NPI 1396583134

  Family Medicine

  Medicare reassignment NPD
• Intermountain Medical Holdings Nevada Inc

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1245997279

  Family Medicine

  Medicare reassignment NPD
• Boulder Primary & Urgent Care LLC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1932919750
  NPD Authorized official
• Healthcare Partners Medical Group Coats LTD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1487631917
  NPD
• Intermountain Medical Holdings Nevada Inc

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1689882557
  NPD

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1184062309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 S JONES BLVD STE 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465635",
            "telephone_number": "702-723-8314",
            "fax_number": "702-895-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 S NELLIS BLVD STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046211",
            "telephone_number": "702-798-7770",
            "fax_number": "702-895-7776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 S Jones Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465635",
            "country_code": "US",
            "telephone_number": "702-798-7770",
            "fax_number": "702-895-7776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAITANO",
        "first_name": "JOHNATHAN",
        "middle_name": "RYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO2144",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "SL0955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184062309",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DO2144",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thouyin Taing
• Leyla Tairova
• Mina Tairova
• Haane Magdalena Taisipic
• Ashley Rene Taitano, APRN
• Anthony Taiwo
• Camille Taiwo, BS, MAT, MAEL
• Cayme Takach, RN
• Istvan Takacs, P.T.,D.P.T.
• Martha Takagaki

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.