BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1174405443
Clinic/Center - Primary Care in Litchfield Park, AZ
About Banner Primary Care Physicians Arizona Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC (NPI 1174405443) is a healthcare organization registered as a primary care in Litchfield Park, Arizona and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Shiva Birdi, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
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 03D2326986
Banner Primary Care Physicians Arizona LLC · Goodyear, AZFrequently 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 Primary Care Physicians Arizona LLC's NPI number?
The NPI number for Banner Primary Care Physicians Arizona LLC is 1174405443. It was assigned to this organization in the NPPES registry on July 25, 2025.
Where is Banner Primary Care Physicians Arizona LLC located?
Banner Primary Care Physicians Arizona LLC is located at 4860 N Litchfield Rd Ste 102, Litchfield Park, AZ 85340. The listed phone number is (623) 474-8370.
What is Banner Primary Care Physicians Arizona LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Banner Primary Care Physicians Arizona LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2326986) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Banner Primary Care Physicians Arizona LLC was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Banner Primary Care Physicians Arizona Llc · NPI 1174405443
Primary Care organization in Litchfield Park, Arizona. Organization record, active in the CMS NPPES registry since July 25, 2025.
## Identity
- **NPI:** 1174405443 (Entity type: Organization)
- **Enumerated:** July 25, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** Yes (part of Banner Health)
- **Authorized official:** Shiva Birdi, CEO
## Practice location
- **Address:** 4860 N LITCHFIELD RD STE 102, Litchfield Park, AZ 85340-5040
- **Phone:** (623) 474-8370
## Record status
- **NPPES last updated:** July 25, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1174405443) · Data from the CMS NPPES public registry.