MODERN CONCEPTS MEDICAL GROUP
NPI 1194930420
Family Medicine in Pasadena, CA

Active since May 11, 2007CLIA Certified · 2 labs
50 BELLEFONTAINE ST, 404, PASADENA, CA 91105(323) 728-6070(323) 728-2912 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modern Concepts Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MODERN CONCEPTS MEDICAL GROUP (NPI 1194930420) is a healthcare organization registered as a family medicine in Pasadena, California and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Margaret Herrera, President, as its authorized official.

NPPES Registry Identity

NPI1194930420
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMODERN CONCEPTS MEDICAL GROUP
Location Address50 BELLEFONTAINE ST, 404Pasadena, CA 91105-3132
Mailing AddressPo Box 640Montebello, CA 90640-0640 · (323) 728-6070 · Fax (323) 728-2912
Fax(323) 728-2912
Organization SubpartNo
Authorized OfficialMargaret HerreraPresident · (323) 728-6070
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 21, 2022
NPI 1194930420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
50 BELLEFONTAINE ST, Pasadena, CA 91105

Other Identifiers 4

Other1346358827CA · Md
Medicaid6495234CA
MedicaidGR0084064CA
Other05D0936983CA · Clia Waiver

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0966931

Modern Concepts Medical Group · Montebello, CA
Active · expires Aug 28, 2026
CLIA Number05D0966931
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorRodolfo A. Arevalo
Laboratory Phone(323) 728-6070
Laboratory LocationModern Concepts Medical Group1217 W Whittier Blvd, Montebello, CA 90640
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0936983

Modern Concepts Medical Group · Pasadena, CA
Active · expires Aug 29, 2026
CLIA Number05D0936983
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorGustavo Calleros MD
Laboratory Phone(626) 793-1931
Laboratory LocationModern Concepts Medical Group50 Bellfontaine Street, Suite 404, Pasadena, CA 91105
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
50 BELLEFONTAINE ST, STE 103
PASADENA, CA 91105
Internal Medicine
50 BELLEFONTAINE ST, #203
PASADENA, CA 91105
Internal Medicine
50 BELLEFONTAINE ST, SUITE 205
PASADENA, CA 91105
Dentist
50 BELLEFONTAINE ST, SUITE 102
PASADENA, CA 91105
Pediatrics (Pediatric Cardiology)
50 BELLEFONTAINE ST, SUITE 405
PASADENA, CA 91105
Dentist
50 BELLEFONTAINE ST, STE 204
PASADENA, CA 91105
Pediatrics (Pediatric Cardiology)
50 BELLEFONTAINE ST, STE 405
PASADENA, CA 91105
Dermatology
50 BELLEFONTAINE ST, #301
PASADENA, CA 91105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modern Concepts Medical Group's NPI number?

The NPI number for Modern Concepts Medical Group is 1194930420. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is Modern Concepts Medical Group located?

Modern Concepts Medical Group is located at 50 Bellefontaine St 404, Pasadena, CA 91105. The listed phone number is (323) 728-6070.

What is Modern Concepts Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Modern Concepts Medical Group hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Modern Concepts Medical Group was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.