Organization Active NPI

Inner Qi Wellness Inc

  • Chiropractor
  • Corona, CA
National Provider Identifier
1043758014
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC32763 Issued in CA
Legal business name
INNER QI WELLNESS INC
Practice address
710 Rimpau Ave Ste 106
Corona, CA 92879-5724
Phone
(951) 428-4135
Fax
(951) 339-3623
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Dr. Thales Saiki Ruela, L.AC.NPI 1598108409
Title
President/Acupuncturist
Phone
(951) 428-4135

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC32763 CA Primary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC15255 CA
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC15916 CA

Addresses

Primary practice location

710 Rimpau Ave Ste 106
Corona, CA 92879-5724

Mailing address

710 Rimpau Ave Ste 106
Corona, CA 92879-5724
Phone (951) 428-4135

Other identifiers 1

IdentifierTypeStateIssuer
1043758014OtherCANPI TYPE 2

Other names 1

  • INNER QI CHIROPRACTIC & ACUPUNCTURE WELLNESS CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1175 W Grand Blvd
Ste 100
Corona, CA 92882
Phone (951) 399-9296

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1043758014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 RIMPAU AVE STE 106",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928795724",
            "telephone_number": "951-428-4135",
            "fax_number": "951-339-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 RIMPAU AVE STE 106",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928795724",
            "telephone_number": "951-428-4135",
            "fax_number": "951-339-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER QI WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "RUELA",
        "authorized_official_first_name": "THALES",
        "authorized_official_middle_name": "SAIKI",
        "authorized_official_title_or_position": "PRESIDENT/ACUPUNCTURIST",
        "authorized_official_telephone_number": "951-428-4135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32763",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15255",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC15916",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1043758014",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNER QI CHIROPRACTIC & ACUPUNCTURE WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "INNER QI CHIROPRACTIC & ACUPUNCTURE WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.