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BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1083342273
Nutritionist - Nutrition, Education in Sun City West, AZ

Active since August 15, 2022CLIA Certified · 3 labs
14416 W MEEKER BLVD, SUN CITY WEST, AZ 85375(623) 876-3800(623) 546-9896 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Banner Physician Specialists Arizona Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANNER PHYSICIAN SPECIALISTS ARIZONA LLC (NPI 1083342273) is a healthcare organization registered as a nutrition, education in Sun City West, Arizona and active in the NPI registry since August 2022. The organization holds 3 active CLIA laboratory certificates and lists Shiva Birdi, Ceo/bmg, as its authorized official.

NPPES Registry Identity

NPI1083342273
Entity TypeOrganization
Primary Taxonomy133NN1002X
Legal Business NameBANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Location Address14416 W MEEKER BLVDSun City West, AZ 85375-5284
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(623) 876-3800
Fax(623) 546-9896
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo/bmg · (602) 747-4000
Enumeration DateAugust 15, 2022
NPPES CertifiedAugust 15, 2022
✔ NPI 1083342273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionist · Nutrition, EducationDietary & Nutritional Service Providers
Taxonomy Code133NN1002X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
14416 W MEEKER BLVD, Sun City West, AZ 85375
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CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2112727

Banner Physician Specialists Arizona LLC · Sun City West, AZ
Active · expires May 5, 2028
CLIA Number03D2112727
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorJames Gordon
Laboratory Phone(623) 876-3800
Laboratory LocationBanner Physician Specialists Arizona LLC14416 W Meeker Blvd, Ste 202, Sun City West, AZ 85375
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D0927816

Banner Physician Specialists Arizona LLC Dba Banner Health Center · Sun City West, AZ
Active · expires Oct 31, 2027
CLIA Number03D0927816
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorAnthony D. Santos MD
Laboratory Phone(623) 876-3800
Laboratory LocationBanner Physician Specialists Arizona LLC Dba Banner Health Center14416 W Meeker Blvd, Sun City West, AZ 85375
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 03D2163820

Banner Physician Specialists Arizona LLC · Sun City West, AZ
Active · expires Mar 20, 2027
CLIA Number03D2163820
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorHarmeet Narula
Laboratory Phone(623) 876-3800
Laboratory LocationBanner Physician Specialists Arizona LLC14416 W Meeker Blvd Ste 300, Sun City West, AZ 85375
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL V KOSS MD
Internal Medicine (Gastroenterology)
14416 W MEEKER BLVD, BLDG C
SUN CITY WEST, AZ 85375
Maricopa County (623) 583-5273
VALERIE MARKS D.O.
Internal Medicine
14416 W MEEKER BLVD, SUITE 100
SUN CITY WEST, AZ 85375
Maricopa County (623) 583-5100
CANDACE M NAPIER FNP
Nurse Practitioner (Family)
14416 W MEEKER BLVD, BLDG C
SUN CITY WEST, AZ 85375
Maricopa County (623) 583-5083
JOEL A JACOBSON MD
Family Medicine
14416 W MEEKER BLVD, BLDG C
SUN CITY WEST, AZ 85375
Maricopa County (623) 583-5100
ANTHONY D SANTOS MD
Dermatology
14416 W MEEKER BLVD, BLDG C
SUN CITY WEST, AZ 85375
Maricopa County (623) 583-5180
JAMIL RAZZAQ DO
Internal Medicine
14416 W MEEKER BLVD, BLDG C
SUN CITY WEST, AZ 85375
Maricopa County (623) 583-5083
CINDY PENARANDA
Dietitian, Registered
14416 W MEEKER BLVD, SUITE 100
SUN CITY WEST, AZ 85375
Maricopa County (623) 876-6960
XIOMARA LEONOR GUTIERREZ FNP-C
Nurse Practitioner (Family)
14416 W MEEKER BLVD
SUN CITY WEST, AZ 85375
Maricopa County (623) 285-1669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Banner Physician Specialists Arizona LLC's NPI number?

The NPI number for Banner Physician Specialists Arizona LLC is 1083342273. It was assigned to this organization in the NPPES registry on August 15, 2022.

Where is Banner Physician Specialists Arizona LLC located?

Banner Physician Specialists Arizona LLC is located at 14416 W Meeker Blvd, Sun City West, AZ 85375. The listed phone number is (623) 876-3800.

What is Banner Physician Specialists Arizona LLC's specialty?

The primary specialty registered for this NPI is Nutritionist, specializing in Nutrition, Education, with taxonomy code 133NN1002X.

Does Banner Physician Specialists Arizona LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Banner Physician Specialists Arizona LLC was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.