MARTIN LUTHER KING JR. COMMUNITY MEDICAL GROUP
NPI 1306496641
Clinic/Center - Multi-Specialty in Compton, CA
NPI Status: Active since September 18, 2019
Contact Information
131 E COMPTON BLVD
COMPTON, CA
ZIP 90220
Phone: (424) 529-6755
Fax: (424) 338-8984
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D2121986
- CLIA Cert. Type: Other - CLINIC
- CLIA Exp. Date: 11-16-2026
About MARTIN LUTHER KING JR. COMMUNITY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Martin Luther King Jr. Community Medical Group, a provider established in Compton, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1306496641 assigned on September 2019. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Martin Luther King Jr. Community Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Martin Luther King Jr. Community Medical Group. The authorized official of this NPI record is Kurt Stauder (President)
- NPI
- 1306496641
- Provider Legal Name
- MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
- Other Organization Name
- MARTIN LUTHER KING JR. COMMUNITY MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 131 E COMPTON BLVD COMPTON, CA 90220
- Location Phone
- (424) 529-6755
- Location Fax
- (424) 338-8984
- Mailing Address
- 2215 W ROSECRANS AVE STE 22 COMPTON, CA 90222
- Mailing Phone
- (424) 529-6755
- Mailing Fax
- (424) 338-8984
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-18-2019
- Last Update Date
- 05-14-2024
- Code Navigator
Location Map
Secondary Locations
- 2215 W Rosecrans Ave Ste 22
Compton, CA 90222
(424) 529-6755
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | |
| 2 | 171R00000X | Other Service Providers | Interpreter | |
| 3 | 176B00000X | Other Service Providers | Midwife | |
| 4 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 5 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 8 | 207VM0101X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 9 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 10 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 11 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2121986
- Facility Type
- Other - CLINIC
- Certificate Effective Date
- November 17, 2024
- Certificate Expiration Date
- November 16, 2026
- Laboratory Director
- PATRICK MEEHAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Martin Luther King Jr. Community Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1306496641, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306496641, enumerated as an "organization" on September 18, 2019.
The provider is located at 131 E COMPTON BLVD COMPTON, CA 90220 and the phone number is (424) 529-6755.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
