DR. TAYMOUR EDWARD MALAK M.D.
NPI 1104931260
Family Medicine in Stockton, CA

Active since August 20, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D0865756 · Waiver
2800 N CALIFORNIA ST STE 11, 2800 N. CALIFORNIA STREET SUITE 11, STOCKTON, CA 95204(209) 465-5891(209) 465-0008 Get Directions Write a Review

NPPES record last updated: February 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Taymour Edward Malak M.d. NPPES

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

DR. TAYMOUR EDWARD MALAK M.D. (NPI 1104931260) is an individual family medicine provider in Stockton, California, licensed in California (A400760) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1104931260
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TAYMOUR EDWARD MALAKCredential: M.D.
Location Address2800 N CALIFORNIA ST STE 11, 2800 N. CALIFORNIA STREET SUITE 11Stockton, CA 95204-3758
Mailing Address2800 N California St Ste 11, 2800 N. California Street Suite 11Stockton, CA 95204-3758 · (209) 465-5891 · Fax (209) 465-0008
Fax(209) 465-0008
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateAugust 20, 2006
Last NPPES UpdateFebruary 17, 2012
NPI 1104931260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A400760
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License A400760 (CA)
2800 N CALIFORNIA ST STE 11, Stockton, CA 95204

Other Identifiers 5

OtherA40076CA · State License Number
Medicare UPIND34082CA
Medicaid00A4007607CA
Medicare ID-Type Unspecified00A400760CA · Medicare Id Number
Other680045304CA · Tax Identification Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Taymour Edward Malak M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971576430
PECOS Enrollment IDI20040816001508
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0865756

Dr Taymour Malak · Stockton, CA
Active · expires Aug 31, 2026
CLIA Number05D0865756
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTaymour Malak Dr
Laboratory Phone(209) 465-5891
Laboratory LocationDr Taymour Malak2800 N California, Stockton, CA 95204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,400 services521 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
837 services183 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
400 services243 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
378 services170 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
323 services107 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
219 services181 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 31

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
30 suppliers226 claims474 services$5.43 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers18 claims18 services$2.44 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
23 suppliers113 claims127 services$0.92 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers17 claims34 services$1.12 avg. paid by Medicare
Small volume nonfiltered pneumatic nebulizer, disposable A7004
DME-Other DME · category DE000N
1 supplier12 claims24 services$1.09 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
3 suppliers13 claims390 services$2.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
2800 N CALIFORNIA ST STE 11
STOCKTON, CA 95204
Nurse Practitioner (Family)
2800 N CALIFORNIA ST STE 11
STOCKTON, CA 95204

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 Taymour Malak's NPI number?

The NPI number for Taymour Malak is 1104931260. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Taymour Malak located?

Taymour Malak practices at 2800 N California St Ste 11 2800 N. California Street Suite 11, Stockton, CA 95204. The listed phone number is (209) 465-5891.

What is Taymour Malak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Taymour Malak enrolled in Medicare?

Yes. Taymour Malak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Taymour Malak hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0865756) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Taymour Malak was last updated on February 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.