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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 · 3 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: September 06, 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 3 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

CLIA Laboratory Certificates CMS CLIA 3

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 · Compton, CA
Active · expires Nov 16, 2026
CLIA Number05D2121986
Laboratory TypeClinic
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorPatrick Meehan
Laboratory Phone(424) 529-6755
Laboratory LocationMartin Luther King Jr. Community Medical Group2251 W Rosecrans Ave Unit 21, Compton, CA 90222
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2182502

Martin Luther King Jr Community Medical Grp · Los Angeles, CA
Active · expires Apr 21, 2028
CLIA Number05D2182502
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorJohn T. Fisher
Laboratory Phone(424) 529-6755
Laboratory LocationMartin Luther King Jr Community Medical Grp12021 Wilmington Ave, Bldg 11, Ste 1000, Los Angeles, CA 90059
CLIA data matches this NPI record on: 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.

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

Yes. 3 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.