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BANNER SURGERY CENTER - ALVERNON LLC
NPI 1922660109
Clinic/Center - Ambulatory Surgical in Tucson, AZ

Active since July 08, 2019CLIA 03D2170760 · Waiver
750 N ALVERNON WAY, TUCSON, AZ 85711(480) 292-8541(602) 926-0412 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2026, Feb 11, 2020, Nov 22, 2019 and 1 more (4 updates tracked since 2019).

About Banner Surgery Center - Alvernon Llc NPPES

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

BANNER SURGERY CENTER - ALVERNON LLC (NPI 1922660109) is a healthcare organization registered as an ambulatory surgical in Tucson, Arizona and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through August 18, 2027 and lists Brett Walton, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1922660109
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBANNER SURGERY CENTER - ALVERNON LLC
Location Address750 N ALVERNON WAYTucson, AZ 85711-1804
Mailing Address2355 E Camelback Rd Ste 700Phoenix, AZ 85016-9044 · (602) 358-8512
Phone(480) 292-8541
Fax(602) 926-0412
Organization SubpartNo
Authorized OfficialBrett WaltonVp Of Operations · (909) 212-1708
Enumeration DateJuly 8, 2019
Last NPPES UpdateMarch 17, 20264 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1922660109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
750 N ALVERNON WAY, Tucson, AZ 85711
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.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 03D2170760

Banner Surgery Center Alvernon, LLC · Tucson, AZ
Active · expires Aug 18, 2027
CLIA Number03D2170760
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 19, 2025
Certificate Expiration DateAugust 18, 2027
Laboratory DirectorNeesann Marietta
Laboratory Phone(303) 919-2987
Laboratory LocationBanner Surgery Center Alvernon, LLC750 N Alvernon Way, Tucson, AZ 85711
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
4,389 services33 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
38 services37 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
16 services13 patients

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.

LORA GAIL CALONJE CRNA
Nurse Anesthetist, Certified Registered
750 N ALVERNON WAY
TUCSON, AZ 85711
Pima County (520) 874-3500
XUEMIN ZHANG MD
Ophthalmology (Cornea and External Diseases Specialist)
750 N ALVERNON WAY
TUCSON, AZ 85711
Pima County (520) 321-1746

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 Surgery Center - Alvernon LLC's NPI number?

The NPI number for Banner Surgery Center - Alvernon LLC is 1922660109. It was assigned to this organization in the NPPES registry on July 8, 2019.

Where is Banner Surgery Center - Alvernon LLC located?

Banner Surgery Center - Alvernon LLC is located at 750 N Alvernon Way, Tucson, AZ 85711. The listed phone number is (480) 292-8541.

What is Banner Surgery Center - Alvernon LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Banner Surgery Center - Alvernon LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2170760) is associated with this NPI, valid through August 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banner Surgery Center - Alvernon LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Banner Surgery Center - Alvernon 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 Surgery Center - Alvernon LLC was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.