Healthcare Provider Details

I. General information

NPI: 1104735174
Provider Name (Legal Business Name): PULSE WELLNESS A NURSING PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15599 ALLSPICE LN
FONTANA CA
92336-3587
US

IV. Provider business mailing address

4000 MACARTHUR BLVD SUITE 600 EAST TOWER
NEWPORT BEACH CA
92660
US

V. Phone/Fax

Practice location:
  • Phone: 909-561-4922
  • Fax: 909-265-9506
Mailing address:
  • Phone: 909-561-4922
  • Fax: 909-265-9506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. ALAN TOMONARI AKITA
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: DNP, APRN, FNP-BC
Phone: 909-561-4922