Ken Marriner (NPI# 1013264126, PAC ID# 0042510026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1013264126 |
| PAC ID by PECOS | 0042510026 |
| Professional Enrollment ID | I20180803001510 |
| Full Name | Ken Marriner |
| Organization Legal Name | LA CLINICA DE LA RAZA INC |
| Address |
3451 E 12th St Oakland CA 94601-3463 |
| Phone Number | 5105353500 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 2012 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1557258282 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050043 | ALTA BATES SUMMIT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3451 E 12th St, Oakland, CA 94601-3463 | 5105353500 | LA CLINICA DE LA RAZA INC |
| Organization Legal Name | LA CLINICA DE LA RAZA INC |
| Physicians | 107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Heckert | Nurse Practitioner | La Clinica De La Raza Inc | 220 Hospital Dr, Vallejo, CA 94589-2517 |
| Subathra Murugaiah | Family Medicine | La Clinica De La Raza Inc | 243 Georgia St B, Vallejo, CA 94590-5905 |
| Jennifer Westerman | Nurse Practitioner | La Clinica De La Raza Inc | 2240 Gladstone Dr, Suite 4, Pittsburg, CA 94565-5126 |
| Maria Catalina Cuervo | Family Medicine | La Clinica De La Raza Inc | 1515 Fruitvale Ave, Oakland, CA 94601-2322 |
| Harpreet Kaur | Nurse Practitioner | La Clinica De La Raza Inc | 2000 Sierra Rd, Concord, CA 94518-2905 |
| Monique Nguyen | Optometry | La Clinica De La Raza Inc | 3060 E 9th St B, Oakland, CA 94601-2925 |
| Guadalupe Elizondo | Physician Assistant | La Clinica De La Raza Inc | 2021 Main St, Oakley, CA 94561-3302 |
| Lisa Renee Montang | Family Medicine | La Clinica De La Raza Inc | 1030 International Blvd, Oakland, CA 94606-3730 |
| Jody L Daudel | Obstetrics/gynecology | La Clinica De La Raza Inc | 210 Hospital Dr, Vallejo, CA 94589-2517 |
| Alireza Rezapour | Internal Medicine | La Clinica De La Raza Inc | 2000 Sierra Rd, Concord, CA 94518-2905 |
| Street Address |
3451 E 12TH ST |
| City | OAKLAND |
| State | CA |
| Zip | 94601-3463 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn Leach | Nurse Practitioner | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Barbara Jill Benzwi | Family Medicine | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Andres A Marin | Family Medicine | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Vanessa A Litman | Internal Medicine | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Sue S Jacobs | Certified Nurse Midwife (cnm) | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Norma Ruiz Iniguez | Nurse Practitioner | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Susan Cole Sykes | Obstetrics/gynecology | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Benjamin Durant | Family Medicine | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Benjamin Beers | Family Medicine | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Tanya Brown | Nurse Practitioner | La Clinica De La Raza Inc | 3451 E 12th St, Oakland, CA 94601-3463 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Floyd Huen | Internal Medicine | Webster Medical Clinic | 2648 International Blvd, Suite 402, Oakland, CA 94601-1506 |
| Jaime Oscar Cortes | Family Practice | 2700 International Blvd, Suite 35, Oakland, CA 94601-1513 | |
| Jane Elizabeth Snow | Internal Medicine | 2780 26th Ave, Oakland, CA 94601-1911 | |
| Esteban Lovato | Internal Medicine | 3022 International Blvd, Suite 312, Oakland, CA 94601-2226 | |
| Jackie Hanna Lennett | Registered Dietitian Or Nutrition Professional | Native American Health Center Inc | 2950 International Blvd, Oakland, CA 94601-2228 |
| Bonita Louise Trinclisti | Nurse Practitioner | Native American Health Center Inc | 2950 International Blvd, Oakland, CA 94601-2228 |
| Enav Mcneil | Nurse Practitioner | Native American Health Center Inc | 2950 International Blvd, Oakland, CA 94601-2228 |
| Rhonda Ramirez | Nurse Practitioner | Native American Health Center Inc | 2950 International Blvd, Oakland, CA 94601-2228 |
| Megan Elizabeth Coale | Nurse Practitioner | Native American Health Center Inc | 2950 International Blvd, Oakland, CA 94601-2228 |
| Zaina El Isa | Internal Medicine | Native American Health Center Inc | 2950 International Blvd, Oakland, CA 94601-2228 |
| Find all physicians in zip 94601 | |||
| City | OAKLAND |
| Zip Code | 94601 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OAKLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ken Marriner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.