Organization Active NPI

Malama Medical Group

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Boulder, CO
National Provider Identifier
1912774167
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
Legal business name
MALAMA MEDICAL GROUP
Practice address
1942 Broadway St.
Ste. 314C
Boulder, CO 80302
Phone
(949) 424-5479
NPI assigned
Dec 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Priyanka Wali, MD
Title
Owner
Phone
(408) 256-3180

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
Obesity and Weight Management Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1201X Primary
Maternal Newborn Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WM0102X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Case Management Agency 251B00000X
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X

Addresses

Primary practice location

1942 Broadway St.
Ste. 314C
Boulder, CO 80302

Mailing address

2261 Market St # 4785
San Francisco, CA 94114-1612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1912774167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST # 4785",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 BROADWAY ST.",
            "address_2": "STE. 314C",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "949-424-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALAMA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "WALI",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-256-3180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.