MALAMA MEDICAL GROUP NPI 1912774167

NPI Information

  • NPI: 1912774167
  • Provider Name: MALAMA MEDICAL GROUP
  • Classification: Dietitian, Registered - 133VN1201X
  • Specialization: Nutrition, Obesity and Weight Management
  • Entity Type: Organization
  • Address: 1942 BROADWAY ST.
    STE. 314C
    BOULDER, CO
    ZIP 80302
  • Phone: (949) 424-5479

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NPI Details

MALAMA MEDICAL GROUP is a nutrition and obesity and weight management dietitian registered in Boulder, CO. The provider is 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. MALAMA MEDICAL GROUP NPI is 1912774167. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1942 BROADWAY ST.
STE. 314C
BOULDER, CO
ZIP 80302
Phone: (949) 424-5479

The provider's authorized official is Priyanka Wali .
The authorized official title is Owner and has the following contact phone number (949) 424-5479.

The enumeration date for this NPI number is 12/7/2023 and was last updated on 3/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133N00000XNutritionistNo
2133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementYes
3163WM0102XRegistered NurseMaternal NewbornNo
4171M00000XCase Manager/Care CoordinatorNo
5251B00000XCase ManagementNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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