Martin Luther King Jr Community Medical Foundation
NPI 1356899777 · Multi-Specialty Clinic/Center · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Martin Luther King Jr Community Medical Foundation is a Multi-Specialty Clinic/Center organization in Los Angeles, CA (NPI 1356899777).
Provider details
- NPI number
- 1356899777
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Stout, Coo(424) 529-6755
Specialties & taxonomies
Ambulatory Health Care Facilities
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Interpreter171R00000X
Other Service Providers
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Maternal & Fetal Medicine Physician207VM0101X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Martin Lurher King Jr. Community Medical Group
Registry dates
- Enumerated
- 2016-09-14
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Frequently asked questions
- What is Martin Luther King Jr Community Medical Foundation's NPI number?
- Martin Luther King Jr Community Medical Foundation's National Provider Identifier (NPI) is 1356899777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Martin Luther King Jr Community Medical Foundation?
- Martin Luther King Jr Community Medical Foundation is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Martin Luther King Jr Community Medical Foundation located?
- Martin Luther King Jr Community Medical Foundation's practice location on file with NPPES is 12021 Wilmington Ave., Los Angeles, CA 90059-3019.
- What is Martin Luther King Jr Community Medical Foundation's phone number?
- The practice phone number listed in the NPPES registry for Martin Luther King Jr Community Medical Foundation is (424) 529-6755.
- Does Martin Luther King Jr Community Medical Foundation accept Medicare?
- Martin Luther King Jr Community Medical Foundation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Martin Luther King Jr Community Medical Foundation?
- The authorized official listed on Martin Luther King Jr Community Medical Foundation's NPPES record is Jeffrey Stout, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Martin Luther King Jr Community Medical Foundation's NPI active?
- Yes — Martin Luther King Jr Community Medical Foundation's NPI (1356899777) is active in the NPPES registry as of the last update on 2026-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.