MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION
MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1356899777, based in Los Angeles, CA. The organization lists 10 taxonomy classifications, with Multi-Specialty Clinic/Center recorded as primary.
Getting there
The practice address on file is 12021 WILMINGTON AVE. BLDG. 11 SUITE 1000, Los Angeles, CA 90059. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8628359502
- Enrollment ID
- O20170109001311
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Multi-Specialty covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QM1300X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | — | — | primary |
| 207R00000X | Internal Medicine Physician | — | — | |
| 208000000X | Pediatrics Physician | — | — | |
| 171R00000X | Interpreter | — | — | |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | |
| 207VM0101X | Maternal & Fetal Medicine Physician Maternal & Fetal Medicine | — | — | |
| 207Q00000X | Family Medicine Physician | — | — | |
| 171M00000X | Case Manager/Care Coordinator | — | — | |
| 363LF0000X | Family Nurse Practitioner Family | — | — | |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1356899777 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 14, 2016 |
| Last updated | Feb 5, 2026 |
| Status | Active |
| Practice address |
12021 WILMINGTON AVE. BLDG. 11 SUITE 1000 Los Angeles, CA 90059 (424) 529-6755 Fax (424) 338-8984 |
| Mailing address |
12021 WILMINGTON AVE BLDG 11 Los Angeles, CA 90059 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 5 | 6 | 8 | 9 | 9 | 7 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 1 | 6 | 7 | 9 | 9 | 7 | 5 |
Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.