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BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
NPI 1659640902
Clinic/Center - Primary Care in Phoenix, AZ

Active since December 15, 2011CLIA 03D2294246 · Waiver
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012(602) 747-4000 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 17, 2026, Sep 13, 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 1659640902) is a healthcare organization registered as a primary care in Phoenix, Arizona and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through November 20, 2027, maintains 10 additional practice locations, and lists Shiva Birdi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659640902
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
Phone(602) 747-4000
Organization SubpartYesParent: Banner Medical Group
Authorized OfficialShiva BirdiCeo · (602) 747-4000
Enumeration DateDecember 15, 2011
Last NPPES UpdateApril 17, 20265 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1659640902 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
Open in Google Maps ↗

Secondary Practice Locations 10

Location 1807 S Ponderosa StPayson, AZ 85541-5542 · Phone (928) 471-3222
Location 237100 N Gantzel Rd Ste 201Queen Creek, AZ 85140-7352 · Phone (928) 596-4500
Location 31075 S Idaho Rd Ste 206Apache Junction, AZ 85119-6405 · Phone (480) 827-5005
Location 41811 E McMurray BlvdCasa Grande, AZ 85122-5404 · Phone (520) 374-6530
Location 5120 E Main St Ste APayson, AZ 85541-5618 · Phone (928) 596-4700
Location 61760 E Florence Blvd Ste 100Casa Grande, AZ 85122-4765 · Phone (520) 374-6505
Location 76152 W Hardscrabble Mesa RdPine, AZ 85544-5238 · Phone (928) 596-4848
Location 81780 E Florence Blvd Ste 108Casa Grande, AZ 85122-4782 · Phone (520) 381-6090
Location 917900 N Porter RdMaricopa, AZ 85138-4228 · Phone (520) 233-2500
Location 103235 N Hunt Hwy Ste 103Florence, AZ 85132-6898 · Phone (520) 233-2770

Other Identifiers 2

Other1417238908Medicaid Npi
Medicaid646019AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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 03D2294246

Banner Primary Care Physicians Arizona LLC · Casa Grande, AZ
Active · expires Nov 20, 2027
CLIA Number03D2294246
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorRuben Espinoza
Laboratory Phone(520) 381-6090
Laboratory LocationBanner Primary Care Physicians Arizona LLC1780 E Florence Blvd Ste 108, Casa Grande, AZ 85122
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.

BANNER HEALTH
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER HOSPITAL BASED PHYSICIANS WEST LLC
Internal Medicine (Critical Care Medicine)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER HOME CARE COLORADO
Home Health
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
Clinic/Center (Multi-Specialty)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER IMAGING SERVICES LLC
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER IMAGING SERVICES LLC
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER IMAGING SERVICES LLC
Clinic/Center (Radiology)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000
BANNER OCCUPATIONAL HEALTH ARIZONA LLC
Clinic/Center (Occupational Medicine)
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012
Maricopa County (602) 747-4000

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 1659640902. It was assigned to this organization in the NPPES registry on December 15, 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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2294246) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Primary Care Physicians Arizona LLC accept?

Health plans from Ambetter from Arizona Complete Health 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 17, 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.