Active NPI
Banner Desert Medical Center
- Rehabilitation Hospital Unit
- Mesa, AZ
National Provider Identifier
1962556274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- Legal business name
- BANNER DESERT MEDICAL CENTER
- Practice address
- 1400 S Dobson Rd
Mesa, AZ 85202-4707 - Phone
- (480) 512-3000
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Robertson
- Title
- Ceo
- Phone
- (602) 747-4000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | Primary |
Addresses
Primary practice location
1400 S Dobson Rd
Mesa, AZ 85202-4707
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other practice location 1
2225 W Southern Ave Bldg 1400
Mesa, AZ 85202-4716
Phone (480) 412-6384
National Provider Directory
National Provider Directory- Tax ID family
- Banner Desert Medical Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1720011810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1962556274",
"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": "1400 S DOBSON RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852024707",
"telephone_number": "480-512-3000"
}
],
"practiceLocations": [
{
"address_1": "2225 W Southern Ave Bldg 1400",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852024716",
"country_code": "US",
"telephone_number": "480-412-6384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BANNER DESERT MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-747-4000"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Banner Childrens Specialists
- Banner Desert Medical Center (Jewels Garden Oncology Boutique)
- Banner Desert Medical Center
- Banner Desert Medical Center
- Banner Desert Medical Center (Banner Desert Care Center)
- Banner Desert Outpatient Pharmacy
- Banner Desert Surgery Center LP
- Banner Family Pharmacy (Banner Family Pharmacy Desert)
- Banner Health Clinic
- Banner Health Dba Cardon Childrens Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.