MODERN CONCEPTS MEDICAL GROUP NPI 1194930420

NPI Information

  • NPI: 1194930420
  • Provider Name: MODERN CONCEPTS MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 05D0936983
  • Address: 50 BELLEFONTAINE ST
    404
    PASADENA, CA
    ZIP 91105
  • Phone: (323) 728-6070

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NPI Details

MODERN CONCEPTS MEDICAL GROUP is a family medicine in Pasadena, CA. The provider is 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. MODERN CONCEPTS MEDICAL GROUP NPI is 1194930420. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

50 BELLEFONTAINE ST
404
PASADENA, CA
ZIP 91105-132
Phone: (323) 728-6070
Fax: (323) 728-2912

The provider's authorized official is Margaret Herrera .
The authorized official title is President and has the following contact phone number (323) 728-6070.

The CLIA number assigned to this NPI record is 05D0936983 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/11/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11346358827OTHERCALIFORNIAMD
26495234MEDICAIDCALIFORNIA
3GR0084064MEDICAIDCALIFORNIA
405D0936983OTHERCALIFORNIACLIA WAIVER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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