OrganizationActive
Banner Hospital Based Physicians Arizona LLC
NPI 1275889891 · Multi-Specialty Clinic/Center · San Tan Valley, AZ
Provider details
- NPI number
- 1275889891
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Banner Medical Group
- Organization subpart
- Yes
- Authorized official
- Shiva Birdi, Ceo(602) 747-4000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
37000 N Gantzel Rd
San Tan Valley, AZ 85140-7303
Phone: (480) 543-2034
Street-level locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Additional practice locations (3)
- 2050 W Southern AveApache Junction, AZ 85120-7305Phone: (480) 733-3300
- 1800 E Florence BlvdCasa Grande, AZ 85122-5303Phone: (520) 381-6300
- 807 S Ponderosa StPayson, AZ 85541-5542Phone: (928) 471-3222
Registry dates
- Enumerated
- 2012-08-01
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.