NPIMap

Organization Active NPI

Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation

Doing business as Martin Luther King, Jr. Community Hospital

  • General Acute Care Hospital
  • Los Angeles, CA
National Provider Identifier
1114367497
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MARTIN LUTHER KING, JR. - LOS ANGELES (MLK-LA) HEALTHCARE CORPORATION
Doing business as
Martin Luther King, Jr. Community Hospital
Practice address
1680 E 120TH St
Los Angeles, CA 90059-3026
Phone
(424) 338-8000
NPI assigned
Jul 1, 2013
Last updated
Oct 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elaine Batchlor, M.D., M.P.H.NPI 1992214837
Title
Ceo
Phone
(424) 338-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1680 E 120TH St
Los Angeles, CA 90059-3026

Mailing address

1680 E. 120TH Street
Los Angeles, CA 90059
Phone (424) 338-8000

Other names 1

  • Martin Luther King, Jr. Community Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150202000680 CA Part A Provider - Hospital 9436474038 Practice locations: Los Angeles, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114367497. Details of each certification follow.

Hospital certification: CCN 050779

Legal name
MARTIN LUTHER KING, JR. - LOS ANGELES (MLK-LA) HEALTHCARE CORPORATION
Doing business as
MARTIN LUTHER KING JR COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 30, 2015
Last certification
Mar 10, 2023
Beds
131
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 27, 2010 in CA
Enrollment address
1680 E 120TH St
Los Angeles, CA 90059-3026
Other Hospital Practice Location
Hospital subgroups
General

Care Compare: Hospital

Medicare Care Compare
Listed as
Martin Luther King, Jr. Community HospitalCCN 050779 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2092607Martin Luther King Jr Community Hospital1680 E 120TH St Third FL, Los Angeles, CA 90059AccreditationJan 19, 2028

National Provider Directory

National Provider Directory

Locations

1635 E 120TH St
Los Angeles, CA 90059

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

3628 E Imperial Hwy
Ste 200
Lynwood, CA 90262
Phone (310) 603-2345

4201 Torrance Blvd
Ste 310
Torrance, CA 90503
Phone (310) 644-1151

8280 Santa Monica Blvd
West Hollywood, CA 90046
Phone (310) 550-1010

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Margolis Individual Corporate OfficerBoard Member Aug 1, 2010
Corporate DirectorBoard Member Aug 1, 2010
Kedar S Mate Individual Corporate OfficerBoard Member Feb 16, 2022
Corporate DirectorBoard Member Feb 16, 2022
Georgina Garcia Individual Corporate OfficerBoard Member Jan 1, 2013
Corporate DirectorBoard Member Jan 1, 2013
Manual Abascal Individual Corporate OfficerChairman Aug 1, 2010
Corporate DirectorChairman Aug 1, 2010
Paul King Individual Corporate OfficerVice Chairman of the Board Aug 1, 2010
Corporate DirectorVice Chairman of the Board Oct 15, 2012
Michael Madden Individual Corporate OfficerSecretary Aug 1, 2010
Corporate DirectorSecretary Oct 15, 2012
Elaine Batchlor Individual Corporate OfficerCeo Oct 15, 2012
Corporate DirectorCeo Oct 15, 2012
W-2 Managing EmployeeCeo Oct 15, 2012
Cynthia Maria Patton Individual Corporate OfficerBoard Member Oct 10, 2018
Corporate DirectorBoard Member Oct 10, 2018

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

Affiliated clinicians 298

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 298

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1114367497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 E. 120TH STREET",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90059",
            "telephone_number": "424-338-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E 120TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593026",
            "telephone_number": "424-338-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LUTHER KING, JR. - LOS ANGELES (MLK-LA) HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "BATCHLOR",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-338-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.P.H."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin Luther King, Jr. Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.