MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
NPI 1356899777
Clinic/Center - Multi-Specialty in Los Angeles, CA
About Martin Luther King Jr Community Medical Foundation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION (NPI 1356899777), doing business as Martin Lurher King Jr. Community Medical Group, is a healthcare organization registered as a multi-specialty in Los Angeles, California and active in the NPI registry since September 2016. The organization lists Jeffrey Stout, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 10
Other Names 1
Group Practice 1
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 Foundation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
547Medicare enrollment records show 547 clinicians reassign Medicare billing to Martin Luther King Jr Community Medical Foundation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 65 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 30
Nearest to this location (20)
See all 547Los Angeles, CA 90059
Los Angeles, CA 90059
Los Angeles, CA 90059
Los Angeles, CA 90059
Los Angeles, CA 90059
Los Angeles, CA 90059
Los Angeles, CA 90059
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1356899777. It was assigned to this organization in the NPPES registry on September 14, 2016. The provider is doing business as Martin Lurher 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 12021 Wilmington Ave. Bldg. 11 Suite 1000, Los Angeles, CA 90059. 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, 1 practice at this address and 65 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Martin Luther King Jr Community Medical Foundation was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Martin Luther King Jr Community Medical Foundation · NPI 1356899777
Multi-Specialty organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since September 14, 2016.
## Identity
- **NPI:** 1356899777 (Entity type: Organization)
- **Enumerated:** September 14, 2016
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** MARTIN LURHER KING JR. COMMUNITY MEDICAL GROUP (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jeffrey Stout, COO
## Practice location
- **Address:** 12021 WILMINGTON AVE., BLDG. 11 SUITE 1000, Los Angeles, CA 90059-3019
- **Phone:** (424) 529-6755 · **Fax:** (424) 338-8984
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 547 clinicians in 30 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (288), Anesthesiology (49), Certified Registered Nurse Anesthetist (CRNA) (44); 1 practice at this address and 65 within 10 miles; [full list](https://npiprofile.com/npi/1356899777/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356899777) · Data from the CMS NPPES public registry.