Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Malama Medical Group

Organization Nutritionist · NPI 1912774167

Malama Medical Group is a Nutritionist in Boulder, Colorado. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
7

Practice location Address checks out

1942 Broadway St Ste 314C
Boulder, CO 80302
Phone: (949) 424-5479
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obesity and Weight Management Nutrition Registered Dietitian (primary) Taxonomy 133VN1201X
Nutritionist Taxonomy 133N00000X
Maternal Newborn Registered Nurse Taxonomy 163WM0102X
Case Manager/Care Coordinator Taxonomy 171M00000X
Community Health Worker Taxonomy 172V00000X
Case Management Agency Taxonomy 251B00000X
Doula Taxonomy 374J00000X

Record details

NPI number1912774167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Priyanka Wali — Owner · (408) 256-3180
NPI enumeratedDecember 7, 2023
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address2261 Market St # 4785, San Francisco, CA 94114-1612

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