Healthcare Provider Details

I. General information

NPI: 1407723695
Provider Name (Legal Business Name): THRIVE CARE HEALTH & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 POMONA RD STE 230
CORONA CA
92878-4324
US

IV. Provider business mailing address

1611 POMONA RD STE 230 230
CORONA CA
92878-4324
US

V. Phone/Fax

Practice location:
  • Phone: 818-605-7076
  • Fax:
Mailing address:
  • Phone: 951-268-2370
  • Fax: 818-337-1483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ALEXIS PURINO MANALO
Title or Position: NP
Credential: NP
Phone: 818-605-7976