WHOLE CHILD WELLNESS, INC (NPI# 1720299308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720299308 |
| Entity Type | Organization |
| Organization Name | WHOLE CHILD WELLNESS, INC |
| Practice Address |
1601 El Camino Real Suite 101 Belmont CA 94002-3948 |
| Practice Telephone | 6505955437 |
| Practice Fax Number | 6505955438 |
| Mailing Telephone | 6505955437 |
| Mailing Fax Number | 6505955438 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ELISA SONG (PRESIDENT) |
| Authorized Official Telephone | 6505955437 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| X | 208000000X | Pediatrics | A68766 | CA | Allopathic & Osteopathic Physicians |
| X | 208000000X | Pediatrics | A64193 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1601 EL CAMINO REAL SUITE 101 |
| City | BELMONT |
| State | CA |
| Zip Code | 94002-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245334713 | Mary Rose Garcia Dmd Inc | Dentist | 1601 El Camino Real, Ste 305, Belmont, CA 94002 | 2006-09-12 |
| 1750761656 | Alina Kagan Od, A Professional Corporation | Optometrist | 1601 El Camino Real, Ste 302, Belmont, CA 94002-3948 | 2015-06-05 |
| 1538557855 | Kizzy Raphael | Naturopath | 1601 El Camino Real, Suite 303, Belmont, CA 94002-3948 | 2015-01-08 |
| 1528484326 | Watson Advanced Chiropractic, Inc | Chiropractor | 1601 El Camino Real, Suite 301, Belmont, CA 94002-3948 | 2014-03-17 |
| 1134397532 | Nicole Freeman Watson | Chiropractor | 1601 El Camino Real, Suite 301, Belmont, CA 94002-3948 | 2008-02-19 |
| 1780863993 | Jennifer French | Acupuncturist | 1601 El Camino Real, Suite 101, Belmont, CA 94002-3948 | 2007-10-24 |
| 1194926253 | Ann D. Wolf | Pediatrics | 1601 El Camino Real, Belmont, CA 94002-3948 | 2007-05-29 |
| 1861603441 | Kandice Stellmon | Nutritionist | 1601 El Camino Real, Suite 101, Belmont, CA 94002-3948 | 2007-05-24 |
| 1669500484 | Elisa Hae-jung Song | Pediatrics | 1601 El Camino Real, Suite 101, Belmont, CA 94002-3948 | 2007-03-01 |
| 1598890626 | Kasia Wilwski Hopewell | Naturopath | 1601 El Camino Real, Suite 101, Belmont, CA 94002 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728740 | Simon Hirschl | Pathology | 9 Kittie Lane, Belmont, CA 94002 | 2017-02-09 |
| 1902251028 | Emma Yan Hiu Lee Chou | Occupational Therapist | 2410 Carlmont Dr, Belmont, CA 94002 | 2016-04-26 |
| 1740578087 | The Latino Commisson | Substance Abuse Rehabilitation Facility | 401 Briarfield Way, Belmont, CA 94002 | 2011-07-20 |
| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1407099088 | Dharmesh Patel | Radiology | 513 Seagate Way, Belmont, CA 94002 | 2009-04-13 |
| 1376688044 | Paul M. Takla | Dentist | 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 | 2007-02-21 |
| 1487799987 | Mark Joseph Mcmahon | Physical Therapist | 549 Ralson Avenue, Suite B, Belmont, CA 94002 | 2007-02-21 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1063575157 | Peninsula Specialty Care | Dentist | 562 Ralston Ave, Belmont, CA 94002 | 2006-12-19 |
| Find all providers in zip 94002 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649522145 | Stephanie Christine Mirich | Nutritionist | 1709 Valley View Ave, Belmont, CA 94002-1939 | 2012-10-08 |
| 1457544587 | Andrea Brekke Hausel | Nutritionist | 2734 Monserat Ave, Belmont, CA 94002-1448 | 2007-08-22 |
| 1861603441 | Kandice Stellmon | Nutritionist | 1601 El Camino Real, Suite 101, Belmont, CA 94002-3948 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667623 | The Simple Leaf, LLC | Nutritionist | 4824 Craner Ave Apt 214, North Hollywood, CA 91601-5133 | 2020-10-20 |
| 1265049191 | Chanti Randolph | Nutritionist | 6677 Santa Monica Blvd Apt 1307, Los Angeles, CA 90038-1392 | 2020-09-24 |
| 1992311120 | Jessica Ellen Black | Nutritionist | 1239 Liberty St Apt 225, El Cerrito, CA 94530-2347 | 2020-09-22 |
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1003425596 | Cassandra Collins | Nutritionist | 2411 Via Mariposa, San Dimas, CA 91773-4421 | 2020-07-30 |
| 1326660432 | Evan Demarco | Nutritionist | 1524 38th St, Sacramento, CA 95816-6712 | 2020-05-12 |
| 1861020620 | Tooba Syed | Nutritionist | 1170 Beethoven Cmn Unit 307, Fremont, CA 94538-5613 | 2020-03-28 |
| 1588299853 | Susannah Johnson | Nutritionist | 539 San Bernardino Ave, Newport Beach, CA 92663-4812 | 2020-03-07 |
| 1740815471 | Mia Rigden | Nutritionist | 807 Navy St, Santa Monica, CA 90405-5638 | 2020-03-03 |
| 1427683184 | Christina S Blankenburg | Nutritionist | 1545 Pine St Apt 907, San Francisco, CA 94109-4684 | 2020-03-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.