OrganizationActive
Banner Childrens Banner Health Clinic LLC
NPI 1558606020 · Primary Care Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1558606020
- Entity type
- Organization
- Primary specialty
- Primary Care 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
- Multi-Specialty Clinic/Center261QM1300X
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
5 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
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Phone: (602) 747-4000
Street-level locationGet directions
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Additional practice locations (4)
- 1075 S Idaho Rd Ste 206Apache Junction, AZ 85119-6405Phone: (480) 827-5005
- 1760 E Florence Blvd Ste 100Casa Grande, AZ 85222-4765Phone: (520) 421-7400Fax: (520) 421-7428
- 1811 E Mcmurray BlvdCasa Grande, AZ 85122-5404Phone: (520) 374-6530
- 17900 N Porter RdMaricopa, AZ 85138-4228Phone: (520) 233-2500
Registry dates
- Enumerated
- 2012-12-10
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.