Banner Primary Care Physicians Arizona LLC
Clinic/Center, Primary Care in Chandler, AZ. Organization (NPI-2).
NPI number1801778154
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1801778154
- Entity type
- Organization (NPI-2)
- Legal business name
- Banner Primary Care Physicians Arizona LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 25, 2025
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1435 S Alma School RdChandler, AZ 85286-7144
Phone 480-668-1600
Mailing address
2901 N Central Ave Ste 160Phoenix, AZ 85012-2702
Phone 602-747-4000
Authorized official
Shiva Birdi
Ceo
6027474000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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