BANNER CHILDRENS BANNER HEALTH CLINIC LLC
NPI 1407191216
Clinic/Center - Primary Care in Phoenix, AZ
Active since December 05, 2012CLIA Certified · 18 labs
About Banner Childrens Banner Health Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BANNER CHILDRENS BANNER HEALTH CLINIC LLC (NPI 1407191216) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since December 2012. The organization holds 18 active CLIA laboratory certificates, maintains 22 additional practice locations, and lists Shiva Birdi, Ceo, as its authorized official.
NPPES Registry Identity
NPI1407191216
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBANNER CHILDRENS BANNER HEALTH CLINIC LLC
Location Address2901 N CENTRAL AVE STE 160Phoenix, AZ 85012-2702
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone(602) 747-4000
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateDecember 5, 2012
Last NPPES UpdateApril 16, 20268 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1407191216 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
2901 N CENTRAL AVE STE 160, Phoenix, AZ 85012
Secondary Practice Locations 22
Location 11300 S Country Club Dr Ste 3Mesa, AZ 85210-5162 · Phone (480) 827-5500
Location 21811 E McMurray BlvdCasa Grande, AZ 85122-5404 · Phone (520) 374-6530
Location 31760 E Florence Blvd Ste 100Casa Grande, AZ 85122-4765 · Phone (520) 374-6505
Location 413995 W Statler Blvd Bldg 1Surprise, AZ 85374-5501 · Phone (623) 478-3100
Location 51075 S Idaho Rd Ste 206Apache Junction, AZ 85119-6405 · Phone (480) 827-5005
Location 617900 N Porter RdMaricopa, AZ 85138-4228 · Phone (520) 233-2500
Location 71220 S Higley Rd Ste 101Mesa, AZ 85206-4001 · Phone (480) 615-2010 · Fax (480) 324-0950
Location 820751 W Market StBuckeye, AZ 85396-7893 · Phone (623) 463-5000
Location 921772 S Ellsworth Loop RdQueen Creek, AZ 85142-7709 · Phone (480) 512-3700
Location 103493 S Mercy Rd Bldg 15Gilbert, AZ 85297-0434 · Phone (480) 827-5042
Location 111435 S Alma School RdChandler, AZ 85286-7144 · Phone (480) 668-1600
Location 121450 S Dobson Rd Ste B220Mesa, AZ 85202-4745 · Phone (480) 827-5044
Location 13155 E Warner RdGilbert, AZ 85296-3082 · Phone (480) 649-6600
Location 144375 E Irma LnPhoenix, AZ 85050-4312 · Phone (480) 890-5800
Location 157701 W Aspera Blvd Stes 102, 201, 301Glendale, AZ 85308-7935 · Phone (623) 248-2100
Location 1615800 N Litchfield Rd Ste 150Surprise, AZ 85374-5516 · Phone (623) 478-3100
Location 178901 E Raintree Dr Ste 150Scottsdale, AZ 85260-7110 · Phone (480) 733-7600
Location 181800 N Civic Sq Ste 200, 220, 320Goodyear, AZ 85395-2391 · Phone (623) 478-3100
Location 191800 N Civic Sq STE 200 220 320Goodyear, AZ 85395-2391 · Phone (623) 478-3100
Location 209780 S Estrella PkwyGoodyear, AZ 85338-7114 · Phone (623) 474-8101
Location 214720 E Greenway RdPhoenix, AZ 85032-4355 · Phone (602) 439-6000
Location 226142 E Brown Rd Ste 102Mesa, AZ 85205-4962 · Phone (480) 827-5430
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Oscar Health Plan, Inc..Insurance ›
CLIA Laboratory Certificates CMS CLIA 18
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 03D2184079
Banner Childrens Banner Health Clinic LLC · Goodyear, AZCLIA Number03D2184079
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorJarrett Riley
Laboratory Phone(623) 474-8101
Laboratory LocationBanner Childrens Banner Health Clinic LLC9780 S Estrella Pkwy, Goodyear, AZ 85338
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.
Certificate of Waiver 03D2183950
Banner Childrens Banner Health Clinic LLC · Gilbert, AZCLIA Number03D2183950
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorSyerra Lea
Laboratory Phone(480) 649-6600
Laboratory LocationBanner Childrens Banner Health Clinic LLC155 E Warner Rd, Gilbert, AZ 85296
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.
Certificate of Waiver 03D2183726
Banner Childrens Banner Health Clinic LLC · Phoenix, AZCLIA Number03D2183726
Laboratory TypePhysician Office
Certificate Effective DateMay 8, 2026
Certificate Expiration DateMay 7, 2028
Laboratory DirectorLurlyn Pero
Laboratory Phone(480) 890-5800
Laboratory LocationBanner Childrens Banner Health Clinic LLC4375 E Irma Ln, Phoenix, AZ 85050
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.
Certificate of Waiver 03D2183629
Banner Childrens Banner Health Clinic LLC · Maricopa, AZCLIA Number03D2183629
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorDawn Sorenson
Laboratory Phone(520) 233-2500
Laboratory LocationBanner Childrens Banner Health Clinic LLC17900 N Porter Rd, Maricopa, AZ 85138
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.
Certificate of Waiver 03D2183558
Banner Childrens Banner Health Clinic LLC · Phoenix, AZCLIA Number03D2183558
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorKothandapany Shalini
Laboratory Phone(602) 439-6000
Laboratory LocationBanner Childrens Banner Health Clinic LLC4720 E Greenway Rd, Phoenix, AZ 85032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.
Certificate of Waiver 03D2183560
Banner Childrens Banner Health Clinic LLC · Chandler, AZCLIA Number03D2183560
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorRuben Espinoza
Laboratory Phone(480) 668-1600
Laboratory LocationBanner Childrens Banner Health Clinic LLC1435 S Alma School Rd, Chandler, AZ 85286
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.
Nurse Practitioner (Family)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
PHOENIX, AZ 85012
Pharmacist (Ambulatory Care)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
PHOENIX, AZ 85012
Nurse Practitioner (Family)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
PHOENIX, AZ 85012
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
PHOENIX, AZ 85012
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407191216, enumerated as an "organization" on December 05, 2012.
The provider is located at 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012 and the phone number is (602) 747-4000.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health and Oscar. Please consult your insurance carrier or call the provider to verify.
