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

Marika C Ennis, MD

Individual provider Emergency Medicine Physician · NPI 1215249214

Marika C Ennis, MD is an Emergency Medicine in San Jose, California. Graduated from University of California, Davis School of Medicine in 2010, 16 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
16
Trained at
University of California, Davis School of Medicine
Licensed in
AZ, CA
In the registry since
2010
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

751 S Bascom Ave Dept OF Emergency Medicine
San Jose, CA 95128
Phone: (408) 885-2334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A125624 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence R72194 (AZ)

Record details

NPI number1215249214
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2010
Last updated in NPPESOctober 22, 2021
Certification dateOctober 22, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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