MODERN CONCEPTS MEDICAL GROUP, INC
NPI 1386859619
Family Medicine in Los Angeles, CA

Active since May 11, 2007CLIA 05D0918755 · Microscopy
1701 CESAR CHAVEZ AVE., 354, LOS ANGELES, CA 90033(323) 728-6070(323) 728-2912 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Modern Concepts Medical Group, Inc NPPES

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

MODERN CONCEPTS MEDICAL GROUP, INC (NPI 1386859619) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through August 29, 2026 and lists Margaret Herrera, President, as its authorized official.

NPPES Registry Identity

NPI1386859619
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMODERN CONCEPTS MEDICAL GROUP, INC
Location Address1701 CESAR CHAVEZ AVE., 354Los Angeles, CA 90033
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 UpdateFebruary 19, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
NPI 1386859619 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.
1701 CESAR CHAVEZ AVE., Los Angeles, CA 90033

Other Identifiers 4

Other05D0918755CA · Clia Waiver
MedicaidGR0084061CA
Other1861415739CA · Md
Medicaid0925132CA

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

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) 05D0918755

Modern Concepts Medical Group · Los Angeles, CA
Active · expires Aug 29, 2026
CLIA Number05D0918755
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorRodolfo A. Arevalo
Laboratory Phone(323) 221-5366
Laboratory LocationModern Concepts Medical Group1701 E Cesar Chavez Ave Ste 354, Los Angeles, CA 90033
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.

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, Inc's NPI number?

The NPI number for Modern Concepts Medical Group, Inc is 1386859619. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is Modern Concepts Medical Group, Inc located?

Modern Concepts Medical Group, Inc is located at 1701 Cesar Chavez Ave. 354, Los Angeles, CA 90033. The listed phone number is (323) 728-6070.

What is Modern Concepts Medical Group, Inc's specialty?

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

Does Modern Concepts Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0918755) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Modern Concepts Medical Group, Inc was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.