BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1386526655
Clinic/Center - Primary Care in Phoenix, AZ

Active since July 25, 2025CLIA 03D0998515 · Waiver
4530 E RAY RD STE 190, PHOENIX, AZ 85044(480) 827-5420 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 1386526655) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through February 19, 2027 and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386526655
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Location Address4530 E RAY RD STE 190Phoenix, AZ 85044-6098
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702 · (602) 747-4000
Organization SubpartYesParent: Banner Health
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
NPI 1386526655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4530 E RAY RD STE 190, Phoenix, AZ 85044

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 03D0998515

Banner Primary Care Physicians Arizona LLC · Phoenix, AZ
Active · expires Feb 19, 2027
CLIA Number03D0998515
Laboratory TypePhysician Office
Certificate Effective DateFebruary 20, 2025
Certificate Expiration DateFebruary 19, 2027
Laboratory DirectorWilliam Bottomley
Laboratory Phone(480) 827-5420
Laboratory LocationBanner Primary Care Physicians Arizona LLC4530 E Ray Rd, Ste 190, Phoenix, AZ 85044
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 2

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

Family Medicine
4530 E RAY RD STE 190
PHOENIX, AZ 85044
Family Medicine
4530 E RAY RD STE 190
PHOENIX, AZ 85044

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 Primary Care Physicians Arizona LLC's NPI number?

The NPI number for Banner Primary Care Physicians Arizona LLC is 1386526655. 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 4530 E Ray Rd Ste 190, Phoenix, AZ 85044. The listed phone number is (480) 827-5420.

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 03D0998515) is associated with this NPI, valid through February 19, 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.