Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ponderosa Pine Healthcare, Inc

Organization Skilled Nursing Facility · NPI 1235865254

Ponderosa Pine Healthcare, Inc is a Skilled Nursing Facility in Mesa, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3130 E Broadway Rd
Mesa, AZ 85204-1740
Phone: (480) 924-7777
Fax: (480) 924-5712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1235865254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soon Burnam — Treasurer · (949) 540-1249
NPI enumeratedAugust 1, 2022
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022
Mailing address3130 E Broadway Rd, Mesa, AZ 85204-1740

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Mesa