MODERN CONCEPTS MEDICAL GROUP, INC (NPI# 1790738243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790738243 |
| Entity Type | Organization |
| Organization Name | MODERN CONCEPTS MEDICAL GROUP, INC |
| Practice Address |
1217 W Whittier Blvd Montebello CA 90640-4642 |
| Mailing Address |
Po Box 640 Montebello CA 90640-0640 |
| Practice Telephone | 3237286070 |
| Practice Fax Number | 3237282912 |
| Mailing Telephone | 3237286070 |
| Mailing Fax Number | 3237282912 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | DR. MARGARET HERRERA (PRESIDENT) |
| Authorized Official Telephone | 3237286070 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ========= | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MCAL PROV. #- MONTEBELLO | GR0084062 | 01 |
| CA | MEDICAL PROV # PASADENA | GR0084064 | 01 |
| CA | MEDICAL PROV. # ELA OFFIC | GR0084061 | 01 |
| Street Address |
1217 W WHITTIER BLVD |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640-4642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275698276 | John Michael Grouse | Dentist | 1217 W Whittier Blvd, Montebello, CA 90640-4642 | 2006-12-27 |
| 1265543730 | Kevin Jerard Jorgensen | Family Medicine | 1217 W Whittier Blvd, Montebello, CA 90640-4642 | 2006-08-31 |
| 1386755759 | Violkys Bustamante | Family Medicine | 1217 W Whittier Blvd, Montebello, CA 90640-4642 | 2006-08-31 |
| 1508889585 | Roberto Madrid | Family Medicine | 1217 W Whittier Blvd, Montebello, CA 90640-4642 | 2006-07-25 |
| 1861415739 | Margaret Lorena Herrera | Family Medicine | 1217 W Whittier Blvd, Montebello, CA 90640-4642 | 2006-07-25 |
| 1487692372 | Rodolfo Antonio Arevalo | Family Medicine | 1217 W Whittier Blvd, Montebello, CA 90640-4642 | 2006-06-03 |
| 1336186691 | Arevalo Family Medical Group Incorporated | Family Medicine | 1217 W Whittier Blvd, Montebello, CA 90640-4300 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891334769 | Soma Barua Md PC | Family Medicine | 3114 W Beverly Blvd., Montebello, CA 90640-2217 | 2019-12-24 |
| 1841726338 | Michelle Tsz Shan Choi | Family Medicine | 2205 W Beverly Blvd, Montebello, CA 90640-2301 | 2017-05-04 |
| 1528440898 | Adventist Health Physicians Network | Family Medicine | 1934 W Beverly Blvd, Montebello, CA 90640-3957 | 2015-06-23 |
| 1316341530 | Pih Health Physicians | Family Medicine | 2205 W. Beverly Blvd., Montebello, CA 90640 | 2014-10-17 |
| 1609047893 | Shinobu Luisa Kaneko M.d. Inc | Family Medicine | 101 W Beverly Blvd., Suite 303, Montebello, CA 90640 | 2008-03-17 |
| 1083835995 | Sudha Govindarrajan Md A Professional Corp | Family Medicine | 101 E Beverly Blvd Ste 302, Montebello, CA 90640-4316 | 2007-05-01 |
| 1215151006 | Leslie Ann Klein | Family Medicine | 101 W Beverly Bl, Suite 300, Montebello, CA 90640 | 2007-04-12 |
| 1932295680 | Bertha Alicia Gonzalez | Family Medicine | 3106 W Beverly Blvd, Montebello, CA 90640-2217 | 2006-10-04 |
| 1295847689 | Kalyani P Randeria | Family Medicine | 101 E Beverly Blvd Ste 405, Montebello, CA 90640-4317 | 2006-08-31 |
| 1407813322 | Hector Aurelio Gonzalez | Family Medicine | 815 Washington Blvd, Montebello, CA 90640-6123 | 2006-04-26 |
| Find all providers in MONTEBELLO | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.