CHARLES MALAK NP
NPI 1629583596
Nurse Practitioner in Palo Alto, CA

Q: What is Charles Malak's NPI number?

The NPI number for Charles Malak is 1629583596. It was assigned to this individual provider in the NPPES registry on December 13, 2017.

Q: What is Charles Malak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Malak was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 13, 2017PECOS EnrolledAccepts Medicare Assignment

795 EL CAMINO REAL, PALO ALTO, CA 94301(650) 853-2943(650) 853-6094 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2020, Apr 25, 2019, Dec 13, 2017 (3 updates tracked since 2017).

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About Charles Malak Np NPPES

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

CHARLES MALAK NP (NPI 1629583596) is an individual nurse practitioner in Palo Alto, California, licensed in California (553346) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629583596

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameCHARLES MALAKCredential: NP

Location Address795 EL CAMINO REALPalo Alto, CA 94301

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 853-2943

Phone(650) 853-2943

Fax(650) 853-6094

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateDecember 13, 2017

Last NPPES UpdateApril 15, 20253 updates tracked since enumeration

NPPES CertifiedApril 15, 2025

✔ NPI 1629583596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 553346

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP95006648 (CA)

795 EL CAMINO REAL, Palo Alto, CA 94301

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Secondary Practice Locations 2

Location 1500 W Cummings Park Ste 2950Woburn, MA 01801-6536 · Phone (781) 376-6938

Location 2555 Middlefield Rd Ste 101Palo Alto, CA 94301-2124 · Phone (650) 512-4566

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Malak Np 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 ID8628323227

PECOS Enrollment IDI20180622001860

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.

Medicare Billing Reassignments

Medicare enrollment records show Charles Malak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sutter Bay Medical Foundation

Same address

Multi-Specialty

795 EL CAMINO REAL
Palo Alto, CA 94301

Reassigned Medicare billing, California enrollment
4,479 clinicians in this Medicare group

NPI 1013950807 (650) 321-4121

Bass Medical Group

18 mi

Orthopaedic Surgery

19842 LAKE CHABOT RD
Castro Valley, CA 94546

Reassigned Medicare billing, California enrollment
347 clinicians in this Medicare group

NPI 1093181646 (510) 886-8844

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324

Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.

76 services16 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

58 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94301 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Other Providers at the Same Location NPPES 20

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

DR. SHIRA BETH LIPTON M.D.

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