Organization Active NPI

Ponderosa Aviation, Inc

Doing business as Ponderosa Air Ambulance

  • Land Ambulance
  • Safford, AZ
National Provider Identifier
1114490836
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PONDEROSA AVIATION, INC
Doing business as
Ponderosa Air Ambulance
Ponderosa Ground Ambulance
Practice address
4500 Aviation Way
Safford, AZ 85546
Phone
(928) 428-7820
Fax
(928) 428-7824
NPI assigned
Jan 4, 2019
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Rex D. BryceNPI 1114973153
Title
Owner
Phone
(928) 348-3703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X NU
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

4500 Aviation Way
Safford, AZ 85546

Mailing address

4500 E Aviation Way
Safford, AZ 85546-9479
Phone (928) 428-7820

Other names 2

  • Ponderosa Air Ambulance Doing business as
  • Ponderosa Ground Ambulance Doing business as

National Provider Directory

National Provider Directory

Locations

4500 E Aviation Way
Safford, AZ 85546
Phone (928) 242-2973

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1114490836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E AVIATION WAY",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855469479",
            "telephone_number": "928-428-7820",
            "fax_number": "928-428-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 AVIATION WAY",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "85546",
            "telephone_number": "928-428-7820",
            "fax_number": "928-428-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA AVIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "BRYCE",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-348-3703"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponderosa Air Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ponderosa Ground Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.