Organization Active NPI

Tonto Basin Fire District

  • Land Ambulance
  • Tonto Basin, AZ
National Provider Identifier
1053534131
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
CONAZ112 Issued in AZ
Legal business name
TONTO BASIN FIRE DISTRICT
Practice address
373 S Old Hwy 188
Tonto Basin, AZ 85553-0048
Phone
(928) 479-2203
Fax
(928) 479-2102
NPI assigned
Apr 10, 2007
Last updated
Aug 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Albert Stoltenberg
Title
Fire Chief
Phone
(928) 238-0197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X CONAZ112 AZ Primary

Addresses

Primary practice location

373 S Old Hwy 188
Tonto Basin, AZ 85553-0048

Mailing address

46189 N. Az Highway 188
P.O. Box 48
Tonto Basin, AZ 85553-0320
Phone (928) 479-2203

Other identifiers 4

IdentifierTypeStateIssuer
173782MedicaidAZ
318007OtherPACIFICARE
0500641OtherAZHEALTHNET
0151500OtherAZBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120404000265 AZ Part B Supplier - Ambulance Service Supplier 1254591977 Practice locations: Toronto Basin, AZ; Tonto Basin, AZ; Roosevelt, AZ

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1053534131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46189 N. AZ HIGHWAY 188",
            "address_2": "P.O. BOX 48",
            "city": "TONTO BASIN",
            "state": "AZ",
            "postal_code": "855530320",
            "telephone_number": "928-479-2203",
            "fax_number": "928-492-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 S OLD HWY 188",
            "city": "TONTO BASIN",
            "state": "AZ",
            "postal_code": "855530048",
            "telephone_number": "928-479-2203",
            "fax_number": "928-479-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONTO BASIN FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "STOLTENBERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "928-238-0197",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": "CONAZ112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173782",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "318007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0500641",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0151500",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonto Basin, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.