NPIMap

Martin Luther King Jr Community Medical Foundation

A Medicare group practice based in Los Angeles, CA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 8628359502), with 517 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
8628359502The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice, Part B Supplier - Independent Diagnostic Testing Facility (Idtf)
Enrolled in
CA
Enrollments
2
Group size
193 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
3In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20170109001311 CA Part B Supplier - Clinic/Group Practice 1356899777
O20250319003548 CA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1346082294

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
93.78 of 100Reported as apm, on the record of 184 clinicians in this group
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Clinicians 517

Page 1 of 6

Clinicians who reassign their Medicare benefits to this group (515) or whom Care Compare lists as members (193).

Sources for this page