NPIMap

Organization Active NPI

Whole Child Wellness, Inc

  • Nutritionist
  • Belmont, CA
National Provider Identifier
1720299308
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
WHOLE CHILD WELLNESS, INC
Practice address
1601 El Camino Real
Suite 101
Belmont, CA 94002-3948
Phone
(650) 595-5437
Fax
(650) 595-5438
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Elisa Song, M.D.NPI 1669500484
Title
President
Phone
(650) 595-5437

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
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A68766 CA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A64193 CA

Addresses

Primary practice location

1601 El Camino Real
Suite 101
Belmont, CA 94002-3948

Mailing address

1601 El Camino Real
Suite 101
Belmont, CA 94002-3948
Phone (650) 595-5437

National Provider Directory

National Provider Directory

Locations

1601 El Camino Real
Ste 101
Belmont, CA 94002
Phone (650) 591-9355

Practitioners & affiliated clinicians

Practitioners 6

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1720299308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 EL CAMINO REAL",
            "address_2": "SUITE 101",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023948",
            "telephone_number": "650-595-5437",
            "fax_number": "650-595-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 EL CAMINO REAL",
            "address_2": "SUITE 101",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023948",
            "telephone_number": "650-595-5437",
            "fax_number": "650-595-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE CHILD WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-595-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A68766",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A64193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.