| Dr Taymour Edward Malak, MD | |
|
2800 N California St Ste 11, 2800 N. California Street Suite 11, Stockton, CA 95204-3758 | |
| (209) 465-5891 | |
| (209) 465-0008 |
| Full Name | Dr Taymour Edward Malak |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 49 Years |
| Location | 2800 N California St Ste 11, Stockton, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104931260 | NPI | - | NPPES |
| 00A4007607 | Medicaid | CA | |
| A40076 | Other | CA | STATE LICENSE NUMBER |
| 680045304 | Other | CA | TAX IDENTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A400760 (California) | Primary |
| 208D00000X | General Practice | A400760 (California) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
| Lincoln Square Post Acute Care | Stockton, CA | Nursing home |
| Dycora Transitional Health - Weber Oaks | Stockton, CA | Nursing home |
| Creekside Center | Stockton, CA | Nursing home |
| Entity Name | Pacific Urgent Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699755397 PECOS PAC ID: 2668445115 Enrollment ID: O20040813000804 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Taymour Edward Malak, MD 2800 N California St Ste 11, 2800 N. California Street Suite 11, Stockton, CA 95204-3758 Ph: (209) 465-5891 | Dr Taymour Edward Malak, MD 2800 N California St Ste 11, 2800 N. California Street Suite 11, Stockton, CA 95204-3758 Ph: (209) 465-5891 |
Angela Nicolini, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10200 Trinity Parkway, Suite 102, Stockton, CA 95219 Phone: 209-948-0808 Fax: 209-957-1807 | |
Dr. Gabriel Kodzo Tanson, M.D., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4873 West Ln, Stockton, CA 95210 Phone: 209-472-1515 Fax: 209-472-1651 | |
Richelle Gomez Marasigan, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 E March Ln Ste A170, Stockton, CA 95210 Phone: 209-477-5552 | |
Sandeep Singh Mann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2216 N California St Ste A, Stockton, CA 95204 Phone: 209-851-2065 Fax: 209-292-8910 | |
Dr. William Clyde Beck, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3108 W Hammer Ln, Suite B, Stockton, CA 95209 Phone: 209-957-6001 Fax: 209-957-6076 | |
Dr. Nkechiyere Nicole Eboka, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2545 W Hammer Ln, Stockton, CA 95209 Phone: 209-954-4040 | |
Annapoorna Muthyapu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3132 W March Ln Ste 5, Stockton, CA 95219 Phone: 209-475-5500 Fax: 209-475-5503 |