Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Taymour Edward Malak, MD

Individual provider Family Medicine Physician · NPI 1104931260

Dr. Taymour Edward Malak, MD is a Family Practice in Stockton, California. Qualified in 1977, 49 years ago. Practices with Pacific Urgent Care Inc, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
49
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2800 N California St Ste 11 2800 N California Street Ste 11
Stockton, CA 95204-3758
Phone: (209) 465-5891
Fax: (209) 465-0008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A400760 (CA)
General Practice Physician Taxonomy 208D00000X · Licence A400760 (CA)

Record details

NPI number1104931260
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 20, 2006
Last updated in NPPESFebruary 17, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Pacific Urgent Care Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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