BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
NPI 1992433197
Nutritionist - Nutrition, Education in Phoenix, AZ
NPI Status: Active since August 15, 2022
Contact Information
4375 E IRMA LN
PHOENIX, AZ
ZIP 85050
Phone: (480) 890-5800
Fax: (480) 890-5920
- Organization
- Nutritionist
- Nutrition, Education
- CLIA Number: 03D2139214
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 06-05-2026
About BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
This page provides the complete NPI Profile along with additional information for Banner Physician Specialists Arizona Llc, a provider established in Phoenix, Arizona operating as a Nutritionist, focusing in nutrition, education . The healthcare provider is registered in the NPI registry with number 1992433197 assigned on August 2022. The practitioner's primary taxonomy code is 133NN1002X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Shiva Birdi (Ceo/bmg)
- NPI
- 1992433197
- Provider Name
- BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
- Entity Type
- Organization
- Location Address
- 4375 E IRMA LN PHOENIX, AZ 85050
- Location Phone
- (480) 890-5800
- Location Fax
- (480) 890-5920
- Mailing Address
- 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-15-2022
- Last Update Date
- 08-15-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nutritionist Nutrition, Education
- Taxonomy Code
- 133NN1002X
- Type
- Dietary & Nutritional Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2139214
- Facility Type
- Community Clinic
- Certificate Effective Date
- June 06, 2024
- Certificate Expiration Date
- June 05, 2026
- Laboratory Director
- LURLYN PERO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Banner Physician Specialists Arizona Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1992433197, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHOENIX, AZ 85050
PHOENIX, AZ 85050
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992433197, enumerated as an "organization" on August 15, 2022.
The provider is located at 4375 E IRMA LN PHOENIX, AZ 85050 and the phone number is (480) 890-5800.
Nutritionist with taxonomy code 133NN1002X and a focus in Nutrition, Education.
