BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC – NPI #1669354932
Clinic/Center

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC is an AHC clinic located in QUEEN CREEK, AZ. NPPES has assigned the NPI number 1669354932 to BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC on July 25, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC below.

NPI Profile for
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

NPI Number
1669354932
Enumeration Date

(about 11 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Primary location
37100 N GANTZEL RD STE 201
QUEEN CREEK, AZ 85140-7352
Phone: (480) 394-4469 Fax:
Mailing address
2901 N CENTRAL AVE STE 160
PHOENIX, AZ 85012-2702
Phone: (602) 747-4000 Fax:
Organization Subpart
Yes - BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC is subpart of another organization.
Authorized Official
SHIVA BIRDI
CEO
Phone: (602) 747-4000
Updated
Certification Date
Jul 25, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.