Banner Primary Care Physicians Arizona LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

Practice address

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

Phone

(602) 747-4000

NPI assigned

Aug 29, 2011

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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• Banner Primary Care Physicians Arizona LLC

  • Clinical Medical Laboratory
  • Peoria, AZ
  • NPI 1649544362

  O20111115000898

  Same enrollment
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1659640902

  O20111115000898

  Same enrollment
• Banner Primary Care Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • Page, AZ
  • NPI 1710234703

  O20111115000898

  Same enrollment
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1790306066

  O20111115000898

  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 246

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.

• Amita Alexander, MD

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1730344508
  NPD
• Sana Ashtiani, M.D.

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1821450925
  NPD
• Janna Assar, M.D.

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1518221589
  NPD
• Marlaine Baldelli, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1083265011
  NPD
• Ashleigh Beatty

  • Nurse Practitioner
  • Peoria, AZ
  • NPI 1295396273
  NPD
• Shaun Brancheau, DO

  • Adult Medicine Physician
  • Queen Creek, AZ
  • NPI 1891019493
  NPD
• Austin Brown, MD

  • Family Medicine Physician
  • Peoria, AZ
  • NPI 1891222857
  NPD
• Greta Maame Nyarkoa Brown, M.D

  • Internal Medicine Physician
  • Sun City West, AZ
  • NPI 1770788820
  NPD
• Esther Wambura Burns, FNP

  • Family Nurse Practitioner
  • Buckeye, AZ
  • NPI 1053840926
  NPD
• Joy M Caplette, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1255704797
  NPD
• Chelsea June Carlson

  • Internal Medicine Physician
  • Mesa, AZ
  • NPI 1336645084
  NPD
• Michael Castro, MD

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1639170293
  NPD

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1417238908",
    "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": "2225 W Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024716",
            "country_code": "US",
            "telephone_number": "480-412-6374",
            "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": "623-465-6506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6152 Hardscrabble Rd",
            "address_purpose": "LOCATION",
            "city": "Pine",
            "state": "AZ",
            "postal_code": "855440000",
            "country_code": "US",
            "telephone_number": "928-596-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37100 N Gantzel Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851407352",
            "country_code": "US",
            "telephone_number": "480-394-4469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3235 N Hunt Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "AZ",
            "postal_code": "851326898",
            "country_code": "US",
            "telephone_number": "520-233-2770",
            "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"
        },
        {
            "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": "13640 N Plaza Del Rio Blvd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814846",
            "country_code": "US",
            "telephone_number": "623-876-3800",
            "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": "1917 S Crismon Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852096216",
            "country_code": "US",
            "telephone_number": "480-610-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 S Ponderosa St",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415542",
            "country_code": "US",
            "telephone_number": "928-471-3222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "564 W 9th Place Ste 2",
            "address_2": "With Mobile Unit",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852014069",
            "country_code": "US",
            "telephone_number": "480-412-6344",
            "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": "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": "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": "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": "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": "4530 E Ray Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850446098",
            "country_code": "US",
            "telephone_number": "480-827-5420",
            "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": "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": "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": "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": "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": "501 N Navajo Dr",
            "address_2": "Mailing PO Box 1447 Page 86040-1447",
            "address_purpose": "LOCATION",
            "city": "Page",
            "state": "AZ",
            "postal_code": "860400959",
            "country_code": "US",
            "telephone_number": "928-645-2424",
            "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": "525 W Brown Rd Ste 4002",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852013202",
            "country_code": "US",
            "telephone_number": "480-657-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14416 W Meeker Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755284",
            "country_code": "US",
            "telephone_number": "623-876-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1780 E Florence Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851224782",
            "country_code": "US",
            "telephone_number": "520-374-6530",
            "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": "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": "28471 N Vistancia Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853832092",
            "country_code": "US",
            "telephone_number": "623-327-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7669 E Pinnacle Peak Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852553220",
            "country_code": "US",
            "telephone_number": "480-764-1937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 E Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415488",
            "country_code": "US",
            "telephone_number": "928-596-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER MEDICAL GROUP",
        "enumeration_date": "2011-08-29",
        "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": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "646019",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Banner Physician Specialists Arizona LLC
• Banner Physician Specialists Arizona LLC
• Banner Physician Specialists Arizona LLC
• Banner Physician Super Specialists Arizona LLC
• Banner Primary Care Physicians Arizona LLC
• Banner Primary Care Physicians Arizona LLC
• Banner Primary Care Physicians Arizona LLC
• Banner Primary Care Physicians Arizona LLC
• Banner Primary Care Physicians Arizona LLC
• Banner Telehealth LLC

• 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.