Banner Childrens Banner Health Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BANNER CHILDRENS BANNER HEALTH CLINIC LLC

Practice address

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

Phone

(602) 747-4000

NPI assigned

Dec 5, 2012

Last updated

Apr 16, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

BANNER MEDICAL GROUPAs reported in NPPES

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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Banner Childrens Banner Health Clinic LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1285278077

  O20130315000131

  Same enrollment
• Banner Childrens Banner Health Clinic LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1558606020

  O20130315000131

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Tiffany Weathers

Locations

Practitioners 85

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.

• Heather Merchut

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1326500687
  Medicare reassignment Care Compare group NPD
• Mehdi David Salek, M.D.

  • Pediatrics Physician
  • Mesa, AZ
  • NPI 1215903836
  Medicare reassignment Care Compare group NPD
• Courtney Agliano

  • Pediatrics Physician
  • Chandler, AZ
  • NPI 1417431586
  Medicare reassignment NPD
• Michelle Dewolf Allen, D.O.

  • Pediatrics Physician
  • Mesa, AZ
  • NPI 1902896590
  Medicare reassignment NPD
• Trupti V Amin-Chapman, M.D.

  • Pediatrics Physician
  • Mesa, AZ
  • NPI 1164412854
  Medicare reassignment NPD
• Joseph Robert Armstrong, MD

  • Pediatrics Physician
  • Glendale, AZ
  • NPI 1134625486
  Medicare reassignment NPD
• Mwela Njabi Asombang, M.D.

  • Pediatrics Physician
  • Yuma, AZ
  • NPI 1184937989
  Medicare reassignment NPD
• Manu Bhakoo, MD

  • Pediatrics Physician
  • Apache Junction, AZ
  • NPI 1518952373
  Medicare reassignment NPD
• Marcela Cristea, MD

  • Pediatrics Physician
  • Apache Junction, AZ
  • NPI 1013999226
  Medicare reassignment NPD
• Joshua Eberhard, D.O.

  • Pediatrics Physician
  • Queen Creek, AZ
  • NPI 1073923793
  Medicare reassignment NPD
• Kelly F England, M.D.

  • Pediatrics Physician
  • Mesa, AZ
  • NPI 1679563282
  Medicare reassignment NPD
• Ruben Omar Espinoza, M.D.

  • Pediatrics Physician
  • Mesa, AZ
  • NPI 1164621470
  Medicare reassignment NPD

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1407191216",
    "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": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702",
            "telephone_number": "602-747-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S Country Club Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852105162",
            "country_code": "US",
            "telephone_number": "480-827-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13995 W Statler Blvd Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853745501",
            "country_code": "US",
            "telephone_number": "623-478-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 S Higley Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064001",
            "country_code": "US",
            "telephone_number": "480-615-2010",
            "fax_number": "480-324-0950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20751 W Market St",
            "address_purpose": "LOCATION",
            "city": "Buckeye",
            "state": "AZ",
            "postal_code": "853967893",
            "country_code": "US",
            "telephone_number": "623-463-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21772 S Ellsworth Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851427709",
            "country_code": "US",
            "telephone_number": "480-512-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3493 S Mercy Rd Bldg 15",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970434",
            "country_code": "US",
            "telephone_number": "480-827-5042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1435 S Alma School Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852867144",
            "country_code": "US",
            "telephone_number": "480-668-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 S Dobson Rd Ste B220",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024745",
            "country_code": "US",
            "telephone_number": "480-827-5044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 E Warner Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852963082",
            "country_code": "US",
            "telephone_number": "480-649-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4375 E Irma Ln",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504312",
            "country_code": "US",
            "telephone_number": "480-890-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6142 E Brown Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852054962",
            "country_code": "US",
            "telephone_number": "480-827-5430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 E Greenway Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850324355",
            "country_code": "US",
            "telephone_number": "602-439-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9780 S Estrella Pkwy",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853387114",
            "country_code": "US",
            "telephone_number": "623-474-8101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 N Civic Sq STE 200 220 320",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952391",
            "country_code": "US",
            "telephone_number": "623-478-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 N Civic Sq Ste 200, 220, 320",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952391",
            "country_code": "US",
            "telephone_number": "623-478-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8901 E Raintree Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852607110",
            "country_code": "US",
            "telephone_number": "480-733-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15800 N Litchfield Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853745516",
            "country_code": "US",
            "telephone_number": "623-478-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7701 W Aspera Blvd Stes 102, 201, 301",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853087935",
            "country_code": "US",
            "telephone_number": "623-248-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 S Idaho Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Apache Junction",
            "state": "AZ",
            "postal_code": "851196405",
            "country_code": "US",
            "telephone_number": "480-827-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17900 N Porter Rd",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851384228",
            "country_code": "US",
            "telephone_number": "520-233-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 E Florence Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224765",
            "country_code": "US",
            "telephone_number": "520-374-6505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1811 E McMurray Blvd",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225404",
            "country_code": "US",
            "telephone_number": "520-374-6530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANNER CHILDRENS BANNER HEALTH CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
        "enumeration_date": "2012-12-05",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Primary Care Clinic/Center in Arizona

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.