DR. TAYMOUR EDWARD MALAK (M.D.) – Family Medicine Physician, NPI 1104931260
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
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Provider Addresses for DR. TAYMOUR EDWARD MALAK (M.D.)
North California Street, Stockton, San Joaquin County, California, 95202, United States
2800 N. CALIFORNIA STREET SUITE 11
STOCKTON, CA 952043758
Phone: (209) 465-5891
Fax: (209) 465-0008
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 467 Open Payments records for all available years, with a total value of $8,989.
Total Amount is formed as General ($8,989) + Research ($0) + Ownership ($0) = $8,989.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($1,183).
Total Amount
$8,989
General + Research + Ownership
Payments
467
Total payment records
General Amount
$8,989
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $1,183 |
| ABBVIE INC. | $945 |
| Sumitomo Pharma America, Inc. | $604 |
| Novo Nordisk Inc | $349 |
| Lilly USA, LLC | $273 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040816001508 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,621 | 568 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 997 | 218 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 429 | 198 | $0 |
| 99497 | Advance care planning, first 30 minutes | 427 | 384 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 368 | 131 | $0 |
Insurance plans in this area (ZIP 95204)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CA | 81002 | Urinalysis, manual test | 118 | 93 |
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