BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1417238908
Clinic/Center - Primary Care in Phoenix, AZ

Active since August 29, 2011CLIA Certified · 14 labs
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012(602) 747-4000 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2026, Dec 10, 2024, Aug 20, 2024 and 2 more (5 updates tracked since 2021).

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 1417238908) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since August 2011. The organization holds 14 active CLIA laboratory certificates, maintains 33 additional practice locations, and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417238908
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Location Address2901 N CENTRAL AVE STE 160Phoenix, AZ 85012-2702
Mailing Address2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateAugust 29, 2011
Last NPPES UpdateApril 16, 20265 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
NPI 1417238908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2901 N CENTRAL AVE STE 160, Phoenix, AZ 85012

Secondary Practice Locations 33

Location 14375 E Irma LnPhoenix, AZ 85050-4312 · Phone (480) 890-5800
Location 220751 W Market StBuckeye, AZ 85396-7893 · Phone (623) 463-5000
Location 313640 N Plaza Del Rio BlvdPeoria, AZ 85381-4846 · Phone (623) 876-3800
Location 421772 S Ellsworth Loop RdQueen Creek, AZ 85142-7709 · Phone (480) 512-3700
Location 51917 S Crismon RdMesa, AZ 85209-6216 · Phone (480) 610-7100
Location 6807 S Ponderosa StPayson, AZ 85541-5542 · Phone (928) 471-3222
Location 7564 W 9th Place Ste 2, With Mobile UnitMesa, AZ 85201-4069 · Phone (480) 412-6344
Location 8155 E Warner RdGilbert, AZ 85296-3082 · Phone (480) 649-6600
Location 91075 S Idaho Rd Ste 206Apache Junction, AZ 85119-6405 · Phone (480) 827-5005
Location 1017900 N Porter RdMaricopa, AZ 85138-4228 · Phone (520) 233-2500
Location 111800 N Civic Sq Ste 200, 220, 320Goodyear, AZ 85395-2391 · Phone (623) 465-6506
Location 126152 Hardscrabble RdPine, AZ 85544-0000 · Phone (928) 596-4848
Location 1337100 N Gantzel Rd Ste 201Queen Creek, AZ 85140-7352 · Phone (480) 394-4469
Location 143235 N Hunt Hwy Ste 103Florence, AZ 85132-6898 · Phone (520) 233-2770
Location 151811 E McMurray BlvdCasa Grande, AZ 85122-5404 · Phone (520) 374-6530
Location 16120 E Main St Ste APayson, AZ 85541-5488 · Phone (928) 596-4700
Location 177669 E Pinnacle Peak Rd Ste 220Scottsdale, AZ 85255-3220 · Phone (480) 764-1937
Location 1828471 N Vistancia Blvd Ste 102Peoria, AZ 85383-2092 · Phone (623) 327-8800
Location 199780 S Estrella PkwyGoodyear, AZ 85338-7114 · Phone (623) 474-8101
Location 201435 S Alma School RdChandler, AZ 85286-7144 · Phone (480) 668-1600
Location 211300 S Country Club Dr Ste 3Mesa, AZ 85210-5162 · Phone (480) 827-5500
Location 224530 E Ray Rd Ste 190Phoenix, AZ 85044-6098 · Phone (480) 827-5420
Location 232225 W Southern AveMesa, AZ 85202-4716 · Phone (480) 412-6374
Location 2413995 W Statler Blvd Bldg 1Surprise, AZ 85374-5501 · Phone (623) 478-3100
Location 251760 E Florence Blvd Ste 100Casa Grande, AZ 85122-4765 · Phone (520) 374-6505
Location 264720 E Greenway RdPhoenix, AZ 85032-4355 · Phone (602) 439-6000
Location 27501 N Navajo Dr, Mailing PO Box 1447 Page 86040-1447Page, AZ 86040-0959 · Phone (928) 645-2424
Location 2815800 N Litchfield Rd Ste 150Surprise, AZ 85374-5516 · Phone (623) 478-3100
Location 29525 W Brown Rd Ste 4002Mesa, AZ 85201-3202 · Phone (480) 657-1000
Location 3014416 W Meeker BlvdSun City West, AZ 85375-5284 · Phone (623) 876-3800
Location 311780 E Florence Blvd Ste 108Casa Grande, AZ 85122-4782 · Phone (520) 374-6530
Location 328901 E Raintree Dr Ste 150Scottsdale, AZ 85260-7110 · Phone (480) 733-7600
Location 337701 W Aspera Blvd Stes 102, 201, 301Glendale, AZ 85308-7935 · Phone (623) 248-2100

Other Identifiers 1

Medicaid646019AZ

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 15

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 03D2303957

Banner Primary Care Physicians Arizona LLC · Pine, AZ
Active · expires May 2, 2028
CLIA Number03D2303957
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorTamara Rector
Laboratory Phone(928) 596-4848
Laboratory LocationBanner Primary Care Physicians Arizona LLC6152 Hardscrabble Rd, Pine, AZ 85544
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) 03D2039693

Banner Primary Care Physicians Arizona LLC · Maricopa, AZ
Active · expires Apr 15, 2028
CLIA Number03D2039693
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorJia Xi Dong
Laboratory Phone(520) 233-2500
Laboratory LocationBanner Primary Care Physicians Arizona LLC17900 North Porter Rd, Maricopa, AZ 85138
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 for Provider-Performed Microscopy Procedures (PPMP) 03D2110949

Banner Primary Care Physicians Arizona LLC · Phoenix, AZ
Active · expires Mar 27, 2028
CLIA Number03D2110949
Laboratory TypePhysician Office
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorKothandapany Shalini
Laboratory Phone(602) 439-6000
Laboratory LocationBanner Primary Care Physicians Arizona LLC4720 E Greenway Rd, Phoenix, AZ 85032
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 03D2299992

Banner Primary Care Physicians Arizona LLC · Scottsdale, AZ
Active · expires Feb 29, 2028
CLIA Number03D2299992
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorRuben Espinoza
Laboratory Phone(480) 733-7600
Laboratory LocationBanner Primary Care Physicians Arizona LLC8901 E Raintree Dr Ste 150, Scottsdale, AZ 85260
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) 03D2046390

Banner Primary Care Physicians Arizona LLC · Surprise, AZ
Active · expires Oct 31, 2027
CLIA Number03D2046390
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorDavid Valenzuela
Laboratory Phone(623) 478-3100
Laboratory LocationBanner Primary Care Physicians Arizona LLC15800 N Litchfield Rd, Surprise, AZ 85374
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 03D2139212

Banner Primary Care Physicians Arizona LLC · Phoenix, AZ
Active · expires Oct 30, 2027
CLIA Number03D2139212
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorLurlyn Pero
Laboratory Phone(480) 890-5800
Laboratory LocationBanner Primary Care Physicians Arizona LLC4375 E Irma Lane, 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.

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.

General Acute Care Hospital
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Internal Medicine (Critical Care Medicine)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Home Health
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Clinic/Center (Multi-Specialty)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Clinic/Center (Occupational Medicine)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012

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 1417238908. It was assigned to this organization in the NPPES registry on August 29, 2011.

Where is Banner Primary Care Physicians Arizona LLC located?

Banner Primary Care Physicians Arizona LLC is located at 2901 N Central Ave Ste 160, Phoenix, AZ 85012. The listed phone number is (602) 747-4000.

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 CLIA laboratory certificates?

Yes. 14 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.

What insurance does Banner Primary Care Physicians Arizona LLC accept?

Health plans from Ambetter from Arizona Complete Health and Oscar Health Plan, Inc. list Banner Primary Care Physicians Arizona LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banner Primary Care Physicians Arizona LLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.