1. Home
  2. Directory
  3. Colorado
  4. Boulder
  5. Dietitian Registered
  6. NPI Profile

MALAMA MEDICAL GROUP
NPI 1912774167
Dietitian, Registered - Nutrition, Obesity and Weight Management in Boulder, CO

Active since December 07, 2023
1942 BROADWAY ST., STE. 314C, BOULDER, CO 80302(949) 424-5479 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, Mar 20, 2026, Dec 7, 2023 (3 updates tracked since 2023).

About Malama Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALAMA MEDICAL GROUP (NPI 1912774167) is a healthcare organization registered as a nutrition, obesity and weight management in Boulder, Colorado and active in the NPI registry since December 2023. The organization lists Priyanka Wali, Owner, as its authorized official.

NPPES Registry Identity

NPI1912774167
Entity TypeOrganization
Primary Taxonomy133VN1201X
Legal Business NameMALAMA MEDICAL GROUP
Location Address1942 BROADWAY ST., STE. 314CBoulder, CO 80302
Mailing Address2261 Market St # 4785San Francisco, CA 94114-1612
Phone(949) 424-5479
Organization SubpartNo
Authorized OfficialPriyanka WaliOwner · (408) 256-3180
Enumeration DateDecember 7, 2023
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1912774167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers
Taxonomy Code133VN1201X
Definition
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
Also ListedNutritionistTaxonomy 133N00000X
Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedDoulaTaxonomy 374J00000X
1942 BROADWAY ST., Boulder, CO 80302
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malama Medical Group's NPI number?

The NPI number for Malama Medical Group is 1912774167. It was assigned to this organization in the NPPES registry on December 7, 2023.

Where is Malama Medical Group located?

Malama Medical Group is located at 1942 Broadway St. Ste. 314C, Boulder, CO 80302. The listed phone number is (949) 424-5479.

What is Malama Medical Group's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

When was this NPI record last updated?

The NPPES record for Malama Medical Group was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.