DR. TAYMOUR EDWARD MALAK M.D.
NPI 1104931260
Family Medicine in Stockton, CA
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
Specialties & Licenses 2
Other Identifiers 5
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.
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, CAAreas 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.
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.
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.
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.
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.