DR. KEN MAKIO MARRINER (NPI# 1013264126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013264126 |
| Entity Type | Individual |
| Full Name | DR. KEN MAKIO MARRINER |
| Credential | M.D. |
| Practice Address |
3451 E 12th St Oakland CA 94601-3463 |
| Practice Telephone | (510) 535-3500 |
| Practice Fax Number | 5105357863 |
| Mailing Telephone | (510) 535-3500 |
| Mailing Fax Number | 5105357863 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A128587 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Potrero Ave, Bldg 80-83, San Francisco, CA 941103518 | 4152063551 | 4152058387 |
| Street Address |
3451 E 12TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144336181 | La Clinica De La Raza Inc | Clinical Medical Laboratory | 3451 E 12th St, Oakland, CA 94601-3425 | 2006-08-22 |
| 1013529338 | Alexander De Jesus Chavarria | Social Worker | 3451 E 12th St, Oakland, CA 94601-3463 | 2020-08-18 |
| 1023666054 | Rebecca Rush | Registered Nurse | 3451 E 12th St, Oakland, CA 94601-3463 | 2019-09-03 |
| 1316405574 | Norma Ruiz Iniguez | Nurse Practitioner | 3451 E 12th St, Oakland, CA 94601-3463 | 2019-03-06 |
| 1184194482 | La Clinica De La Raza, Inc. | Pharmacy | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-11-29 |
| 1740764901 | Christian Eloy Martinez | Physician Assistant | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-09-23 |
| 1629550454 | Sophia Helen Nogue | Registered Nurse | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-08-29 |
| 1225518533 | Judy Sungwon Hong | Nurse Practitioner | 3451 E 12th St, Oakland, CA 94601-3463 | 2018-08-16 |
| 1659883643 | Yesenia Ramirez-bonilla | Counselor | 3451 E 12th St, Oakland, CA 94601-3463 | 2017-10-30 |
| 1053841387 | Jessie Liu | Family Medicine | 3451 E 12th St, Oakland, CA 94601-3463 | 2017-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1699287334 | Ann Blackwell | Family Medicine | 7312 Hillmont Dr, Oakland, CA 94605-2928 | 2017-11-03 |
| 1134579170 | Jonathan Patberg | Family Medicine | 350 Hawthorne Ave Rm 2308, Oakland, CA 94609-3108 | 2016-06-21 |
| 1003279068 | Van T Vu | Family Medicine | 250 E 18th Street, 2nd Floor, Oakland, CA 94606-1716 | 2016-03-29 |
| 1831559509 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 5 S. Walnut St., Oakland, IL 61943 | 2016-02-24 |
| 1356729826 | Carroll-anne Heins | Family Medicine | 3600 Broadway Ste 43, Oakland, CA 94611-5730 | 2015-05-15 |
| 1568849743 | Wei (wendy) Diao | Family Medicine | 1800 Harrison St Fl 9th, Oakland, CA 94612 | 2015-04-27 |
| 1902292030 | Xiaoshuang Chen | Family Medicine | 835 Webster Street, Oakland, CA 94607-4219 | 2015-04-15 |
| 1356734859 | Christina Gomez-mira | Family Medicine | 532 Chetwood St, Oakland, CA 94610-1428 | 2015-03-09 |
| 1669875498 | Richard Kreutzer | Family Medicine | 7100 Homewood Dr, Oakland, CA 94611-1411 | 2014-10-07 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.