NPIMap

Organization Active NPI

Toca at Banner Health LLC

  • Orthopaedic Surgery Physician
  • Glendale, AZ
National Provider Identifier
1386270932
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TOCA AT BANNER HEALTH LLC
Practice address
18700 N 64TH Dr Ste 205
Glendale, AZ 85308-7112
Phone
(602) 536-7480
Fax
(602) 533-4167
NPI assigned
Mar 16, 2020
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BANNER MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shiva Birdi
Title
Ceo
Phone
(602) 747-4000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU
Physical Medicine & Rehabilitation Physician 208100000X NU

Addresses

Primary practice location

18700 N 64TH Dr Ste 205
Glendale, AZ 85308-7112

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Other practice location 1

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000

Other practice location 2

9201 W Thomas Rd
Phoenix, AZ 85037-3332
Phone (623) 327-4000

Other practice location 3

18700 N 64th Dr Ste 220
Glendale, AZ 85308-7112
Phone (602) 277-6211

Other practice location 4

9377 E Bell Rd Ste 231
Scottsdale, AZ 85260-1503
Phone (602) 277-6211

Other practice location 5

5555 W Thunderbird Rd
Glendale, AZ 85306-4622
Phone (602) 865-5555

Other practice location 6

5002 S Mill Ave Ste 101
Tempe, AZ 85282-6828
Phone (602) 277-6211

Other practice location 7

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000

Other practice location 8

1900 N Higley Rd
Gilbert, AZ 85234-1604
Phone (480) 543-2000

Other practice location 9

2222 E Highland Ave Ste 300
Phoenix, AZ 85016-4879
Phone (602) 277-6211

Other practice location 10

1400 S Dobson Rd
Mesa, AZ 85202-4707
Phone (480) 412-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200604003160 AZ Part B Supplier - Clinic/Group Practice 3072934777 Receives reassigned benefits from 60 practitioners
Practice locations: Phoenix, AZ; Tempe, AZ; Scottsdale, AZ; Mesa, AZ; Glendale, AZ; Gilbert, AZ

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Tiffany Weathers

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Banner Health

    dba Banner Hospice of Northern Colorado

    • Community Based Hospice Care Agency
    • Greeley, CO
    • NPI 1407409964

    Member Of

    NPD member

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1386270932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 N 64TH DR STE 205",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087112",
            "telephone_number": "602-536-7480",
            "fax_number": "602-533-4167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6644 E Baywood Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852061747",
            "country_code": "US",
            "telephone_number": "480-321-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9201 W Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850373332",
            "country_code": "US",
            "telephone_number": "623-327-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18700 N 64th Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853087112",
            "country_code": "US",
            "telephone_number": "602-277-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9377 E Bell Rd Ste 231",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852601503",
            "country_code": "US",
            "telephone_number": "602-277-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5555 W Thunderbird Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064622",
            "country_code": "US",
            "telephone_number": "602-865-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5002 S Mill Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852826828",
            "country_code": "US",
            "telephone_number": "602-277-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 E McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062612",
            "country_code": "US",
            "telephone_number": "602-839-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 N Higley Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852341604",
            "country_code": "US",
            "telephone_number": "480-543-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 E Highland Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164879",
            "country_code": "US",
            "telephone_number": "602-277-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Dobson Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024707",
            "country_code": "US",
            "telephone_number": "480-412-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOCA AT BANNER HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
        "enumeration_date": "2020-03-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "BIRDI",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.