BANNER HEALTH
NPI 1205267549
Clinic/Center - Multi-Specialty in Susanville, CA

Active since December 12, 2013CLIA 05D2119306 · Microscopy
1680 PAUL BUNYAN RD, SUSANVILLE, CA 96130(530) 257-5730 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2026, Jan 31, 2022 (2 updates tracked since 2022).

About Banner Health NPPES

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

BANNER HEALTH (NPI 1205267549) is a healthcare organization registered as a multi-specialty in Susanville, California and active in the NPI registry since December 2013. The organization holds a CLIA Microscopy certificate valid through September 22, 2026, maintains a secondary practice location in Susanville, and lists Steven Stark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205267549
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBANNER HEALTH
Location Address1680 PAUL BUNYAN RDSusanville, CA 96130-3133
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYes
Authorized OfficialSteven StarkCeo · (602) 747-4000
Enumeration DateDecember 12, 2013
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
NPI 1205267549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1680 PAUL BUNYAN RD, Susanville, CA 96130

Other Names 1

Other NameBanner Health Clinic

Secondary Practice Location 1

Location 11800 Spring Ridge DrSusanville, CA 96130-6100 · Phone (530) 252-2000

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 for Provider-Performed Microscopy Procedures (PPMP) 05D2119306

Banner Health · Susanville, CA
Active · expires Sep 22, 2026
CLIA Number05D2119306
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2024
Certificate Expiration DateSeptember 22, 2026
Laboratory DirectorGregory M. Valceschini, MD
Laboratory Phone(530) 257-5730
Laboratory LocationBanner Health1680 Paul Bunyan Rd, Susanville, CA 96130
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.

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 Health's NPI number?

The NPI number for Banner Health is 1205267549. It was assigned to this organization in the NPPES registry on December 12, 2013. The provider is also known as Banner Health Clinic.

Where is Banner Health located?

Banner Health is located at 1680 Paul Bunyan Rd, Susanville, CA 96130. The listed phone number is (530) 257-5730.

What is Banner Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Banner Health hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2119306) is associated with this NPI, valid through September 22, 2026. 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 Health was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.