Modern Concepts Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MODERN CONCEPTS MEDICAL GROUP, INC

Practice address

5836 E Beverly Blvd
Los Angeles, CA 90022-2824

Phone

(323) 726-0370

Fax

(323) 726-0239

NPI assigned

Feb 19, 2026

Organization subpart

No

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

Authorized official

Name

Gustavo CallerosNPI 1346358827

Title

Doctor

Phone

(323) 728-6070

Specialties & licenses 2

Addresses

Tax ID family

Modern Concepts Medical Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Modern Concepts Medical Group, Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1386859619
  NPD tax ID

Practitioners 1

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.

• Gustavo Calleros, MD

  • Family Medicine Physician
  • Pasadena, CA
  • NPI 1346358827
  Authorized official Same address or phone

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1457204380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5836 E BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222824",
            "telephone_number": "323-726-0370",
            "fax_number": "323-726-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5836 E BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900222824",
            "telephone_number": "323-726-0370",
            "fax_number": "323-726-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CONCEPTS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "CALLEROS",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "323-728-6070"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Mode, MSW
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• Model Residential Home, Inc. (Loleta Guest Home)
• Model Residential Home, Inc. (Linda Rosa Guest Home)
• Modern Concepts Medical Group, Inc
• Modern Sleep Centers LLC
• Modesola Akinbi
• Pamela Modeste, RDT, MS
• Yozmine Modeste
• Modesto Specialty Surgery Center PC

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.