MEDICARE: FRONTIER RHEUMATOLOGY AND ARTHRITIS CENTER PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1275481673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRONTIER RHEUMATOLOGY AND ARTHRITIS CENTER PLLC

Provider Business Mailing Address
First Line	:	5550 PAINTED MIRAGE RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4592
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5550 PAINTED MIRAGE RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4592
Country	:	US
Telephone Number	:	702-432-3800
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DANIEL P TAHERI
Credential	:	MD
Telephone Number	:	310-276-3560

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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