OrganizationActive
Banner Health
NPI 1326476813 · Non-Pharmacy Dispensing Site · Phoenix, AZ
Provider details
- NPI number
- 1326476813
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Dennis Laraway, Cfo(602) 747-4000
- License
- 20737 (AZ)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4400 N 32nd St
Suite 140
Phoenix, AZ 85018-3953
Phone: (602) 553-4848
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Banner Health Clinic-32nd St Internal Medicine
- Doing business as
- Banner Health Clinic-32nd St Internal Medicine
Registry dates
- Enumerated
- 2013-10-22
- Last updated
- 2022-01-31
- Certified
- 2022-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.