Modern Concepts Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MODERN CONCEPTS MEDICAL GROUP, INC

Practice address

1217 W Whittier Blvd
Montebello, CA 90640-4642

Phone

(323) 728-6070

Fax

(323) 728-2912

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Margaret Herrera, MD

Title

President

Phone

(323) 728-6070

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Modern Concepts Medical Group

  • Family Medicine Physician
  • Pasadena, CA
  • NPI 1194930420

  O20040302001418

  Same enrollment
• Modern Concepts Medical Group, Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1386859619

  O20040302001418

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Robles Vega, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Norwalk, CA
  • NPI 1740205715
  Medicare reassignment Care Compare group NPD
• Rodolfo Antonio Arevalo, M.D.

  • Family Medicine Physician
  • Montebello, CA
  • NPI 1487692372
  Medicare reassignment Care Compare group
• Violkys Bustamante, PA-C

  • Family Medicine Physician
  • Montebello, CA
  • NPI 1386755759
  Medicare reassignment Care Compare group
• Gustavo Calleros, MD

  • Family Medicine Physician
  • Pasadena, CA
  • NPI 1346358827
  Medicare reassignment Care Compare group
• Claudia Ferrer, PA

  • Physician Assistant
  • Montebello, CA
  • NPI 1457859340
  Medicare reassignment Care Compare group
• Jacqueline Hayata

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1861071102
  Medicare reassignment Care Compare group
• Beringia Liu, MPH

  • Physician Assistant
  • Los Angeles, CA
  • NPI 1801565494
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790738243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906400640",
            "telephone_number": "323-728-6070",
            "fax_number": "323-728-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404642",
            "telephone_number": "323-728-6070",
            "fax_number": "323-728-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN CONCEPTS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-728-6070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROV. # ELA OFFIC",
            "identifier": "GR0084061",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCAL PROV. #- MONTEBELLO",
            "identifier": "GR0084062",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PROV # PASADENA",
            "identifier": "GR0084064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Misa
• Todd D Mishima, OD
• Haresh P Mistry, PTA
• Mntblo Home Health Inc
• Hamideh Sadat Moayedpardazi
• David K Moghimi, D.D.S.
• Jason Daniel Moghimi, DMD
• Mohammad a Chaudhry MD a Professional Corporation
• Elena Mojica, LMFT
• Jesus Antonio Molina

• Family Medicine Physician in Montebello, CA
• Providers in Montebello, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.