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MARTIN LUTHER KING JR. COMMUNITY MEDICAL GROUP
NPI 1306496641
Clinic/Center - Multi-Specialty in Compton, CA

Active since September 18, 2019CLIA Certified · 2 labs
131 E COMPTON BLVD, COMPTON, CA 90220(424) 529-6755(424) 338-8984 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2024, Dec 12, 2023, Jan 17, 2023 and 3 more (6 updates tracked since 2019).

About Martin Luther King Jr. Community Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN LUTHER KING JR. COMMUNITY MEDICAL GROUP (NPI 1306496641) is a healthcare organization registered as a multi-specialty in Compton, California and active in the NPI registry since September 2019. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Compton, and lists Kurt Stauder, President, as its authorized official.

NPPES Registry Identity

NPI1306496641
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
Location Address131 E COMPTON BLVDCompton, CA 90220-2410
Mailing Address2215 W Rosecrans Ave Ste 22Compton, CA 90222-3856 · (424) 529-6755 · Fax (424) 338-8984
Phone(424) 529-6755
Fax(424) 338-8984
Organization SubpartNo
Authorized OfficialKurt StauderPresident · (424) 529-6755
Enumeration DateSeptember 18, 2019
Last NPPES UpdateMay 14, 20246 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1306496641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedInterpreterTaxonomy 171R00000X
Also ListedMidwifeTaxonomy 176B00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
131 E COMPTON BLVD, Compton, CA 90220
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Other Names 1

Doing Business AsMartin Luther King Jr. Community Medical Group

Secondary Practice Location 1

Location 12215 W Rosecrans Ave Ste 22Compton, CA 90222-3856 · Phone (424) 529-6755 · Fax (424) 338-8984

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martin Luther King Jr. Community Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

547

Medicare enrollment records show 547 clinicians reassign Medicare billing to Martin Luther King Jr. Community Medical Group, which bills Medicare for the services they deliver. Of these, 59 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 30

Diagnostic Radiology288
Anesthesiology49
Certified Registered Nurse Anesthetist (CRNA)44
Psychiatry44
Internal Medicine19
Interventional Radiology16
Nurse Practitioner13
Family Practice9
22 other specialties65

Nearest to this location (20)

See all 547
Edward Cardenas, M.D.
Family Practice
NPI 1801327630
135 E COMPTON BLVD
Compton, CA 90220
(424) 296-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Samantha Wong, MD
Pediatric Medicine
NPI 1033614482
135 E COMPTON BLVD
Compton, CA 90220
(424) 529-6755
✔ PECOS0.1 mi
Ancil Philip, MD
General Surgery
NPI 1295943884
2251 W ROSECRANS AVE STE 21
Compton, CA 90222
(424) 529-6755
✔ PECOS✔ Accepts Medicare2.0 mi
Maita Kuvhenguhwa, M.D.
Infectious Disease
NPI 1467795203
2251 W ROSECRANS AVE STE 18-21
Compton, CA 90222
(424) 529-6755
✔ PECOS✔ Accepts Medicare2.0 mi
Jason Prasso, M.D.
Critical Care (Intensivists)
NPI 1033435953
12021 WILMINGTON AVE. BLDG 11 SUITE1000
Los Angeles, CA 90059
(424) 529-6755
✔ PECOS✔ Accepts Medicare2.1 mi
Shing Cheng, M.D.
Internal Medicine
NPI 1871948828
2251 W ROSECRANS AVE STE 19
Compton, CA 90222
(424) 338-1000
✔ PECOS✔ Accepts Medicare2.1 mi
Sabine Nguyen, DO
Internal Medicine
NPI 1831515659
2251 W ROSECRANS AVE STE 18-21
Compton, CA 90222
(424) 529-6755
✔ PECOS2.1 mi
Sonali Patel, FNP
Nurse Practitioner
NPI 1306559653
2251 W ROSECRANS AVE STE 18-21
Compton, CA 90222
(424) 529-6755
✔ PECOS✔ Accepts Medicare2.1 mi
Edward Speltie, D.O.
Family Practice
NPI 1558881482
2251 W ROSECRANS AVE STE 18-21
Compton, CA 90222
(424) 529-6755
✔ PECOS2.1 mi
Erin Dizon, M.D.
Infectious Disease
NPI 1215336136
12021 WILMINGTON AVE STE 1000
Los Angeles, CA 90059
(424) 296-3976
✔ PECOS✔ Accepts Medicare2.1 mi
Megan Jacobs, MD
Endocrinology
NPI 1689685885
12021 WILMINGTON AVE STE 1000
Los Angeles, CA 90059
(424) 529-6755
✔ PECOS✔ Accepts Medicare2.1 mi
Shreya Pujara, MD
Endocrinology
NPI 1154611192
12021 WILMINGTON AVE STE 1000
Los Angeles, CA 90059
(424) 529-6755
✔ PECOS✔ Accepts Medicare2.1 mi
Augustine Pyo
Cardiovascular Disease (Cardiology)
NPI 1255741005
12021 WILMINGTON AVE BLDG 11, SUITE 1000
Los Angeles, CA 90059
(424) 529-6755
✔ PECOS✔ Accepts Medicare2.1 mi
David Tobey, D.O.
Vascular Surgery
NPI 1528324381
12021 WILMINGTON AVE STE 1000 SUITE1000
Los Angeles, CA 90059
(424) 529-6755
✔ PECOS✔ Accepts Medicare2.1 mi
Adan De Jesus Romero Lopez, MD
Family Practice
NPI 1033520002
12021 WILMINGTON AVE BLDG 11
Los Angeles, CA 90059
(424) 529-6755
✔ PECOS✔ Accepts Medicare2.2 mi
Jessie Alvarez, PMHNP-BC
Nurse Practitioner
NPI 1699510719
1680 E 120TH ST
Los Angeles, CA 90059
(424) 338-8000
✔ PECOS2.3 mi
Jessica Nunez, LCSW, MPH
Clinical Social Worker
NPI 1992937478
1680 E 120TH ST
Los Angeles, CA 90059
(424) 338-8568
✔ PECOS2.3 mi
Stanley Frencher, M.D. M.P.H.
General Surgery
NPI 1124341086
1670 E 120TH ST MODULE 3A, UROLOGY
Los Angeles, CA 90059
(424) 338-1559
✔ PECOS✔ Accepts Medicare2.3 mi
Oliver Brooks, M.D.
Pediatric Medicine
NPI 1013013150
10300 COMPTON AVE
Los Angeles, CA 90002
(323) 564-4331
✔ PECOS3.5 mi
Cheickna Fofana, MD
Diagnostic Radiology
NPI 1245729342
100 UCLA MEDICAL PLZ STE 100
Los Angeles, CA 90024
(310) 301-6800
✔ PECOS✔ Accepts Medicare3.7 mi
See all 547 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2178260

Martin Luther King, Jr Community Medical Group · Compton, CA
Active · expires Jan 28, 2028
CLIA Number05D2178260
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorPatrick Meehan
Laboratory Phone(424) 529-6755
Laboratory LocationMartin Luther King, Jr Community Medical Group135 East Compton Blvd, Compton, CA 90220
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2121986

Martin Luther King Jr. Community Medical Group · Los Angeles, CA
Active · expires Nov 16, 2026
CLIA Number05D2121986
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorAdan Romero
Laboratory Phone(424) 529-6755
Laboratory LocationMartin Luther King Jr. Community Medical Group1122 W Washington Ave Ste 305, Los Angeles, CA 90059
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Luther King Jr Community Medical Foundation's NPI number?

The NPI number for Martin Luther King Jr Community Medical Foundation is 1306496641. It was assigned to this organization in the NPPES registry on September 18, 2019. The provider is doing business as Martin Luther King Jr. Community Medical Group.

Where is Martin Luther King Jr Community Medical Foundation located?

Martin Luther King Jr Community Medical Foundation is located at 131 E Compton Blvd, Compton, CA 90220. The listed phone number is (424) 529-6755.

What is Martin Luther King Jr Community Medical Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Martin Luther King Jr Community Medical Foundation enrolled in Medicare?

Yes. Martin Luther King Jr Community Medical Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Martin Luther King Jr Community Medical Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 547 clinicians in 30 Medicare specialties reassign their Medicare billing to Martin Luther King Jr Community Medical Foundation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (288), Anesthesiology (49) and Certified Registered Nurse Anesthetist (CRNA) (44). Of these, 59 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Martin Luther King Jr Community Medical Foundation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Martin Luther King Jr Community Medical Foundation was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.