OrganizationActive
Banner Physician Super Specialists Arizona LLC
NPI 1396014403 · Multi-Specialty Clinic/Center · San Tan Valley, AZ
Provider details
- NPI number
- 1396014403
- 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
Practice location
37100 N Gantzel Rd Ste 214
San Tan Valley, AZ 85140-7353
Phone: (480) 412-9400
Approximate (ZIP-level) locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Additional practice locations (5)
- 2050 W Southern AveApache Junction, AZ 85120-7305Phone: (480) 733-3300
- 1811 E Mcmurray BlvdCasa Grande, AZ 85122-5404Phone: (520) 374-6530
- 1760 E Florence Blvd Ste 100Casa Grande, AZ 85122-4765Phone: (520) 374-6505
- 17900 N Porter RdMaricopa, AZ 85138-4228Phone: (520) 233-2500
- 37000 N Gantzel RdQueen Creek, AZ 85140-7303Phone: (480) 397-4000
Registry dates
- Enumerated
- 2011-12-19
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.