Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ken Makio Marriner, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013264126

Dr. Ken Makio Marriner, MD is a Family Practice in Oakland, California. Graduated from State University of New York Downstate Medical Center in 2012, 14 years ago. Practices with La Clinica De La Raza Inc, a 131-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Trained at
State University of New York Downstate Medical Center
Licensed in
CA
In the registry since
2012
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Oakland, CA
Fax: (510) 535-7863

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1001 Potrero Ave, San Francisco, CA 94110-3518 — (415) 206-3551

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A128587 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013264126
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2012
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2012 (14 years in practice)
Group practice La Clinica De La Raza Inc — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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