{"npi":"1386859619","type":"NPI-2","status":"active","name":{"display":"Modern Concepts Medical Group, INC","other":[],"organization_name":"MODERN CONCEPTS MEDICAL GROUP, INC","authorised_official":"Margaret Herrera"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"CA","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1701 CESAR CHAVEZ AVE.","city":"LOS ANGELES","state":"CA","postal_code":"90033","country_code":"US","street_2":"354","phone":"3237286070","fax":"3237282912"},{"purpose":"MAILING","street_1":"PO BOX 640","city":"MONTEBELLO","state":"CA","postal_code":"906400640","country_code":"US","phone":"3237286070","fax":"3237282912"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"05D0918755","state":"CA","issuer":"CLIA WAIVER"},{"type_code":"05","label":"Medicaid","value":"GR0084061","state":"CA","issuer":null},{"type_code":"01","label":"Other","value":"1861415739","state":"CA","issuer":"MD"},{"type_code":"05","label":"Medicaid","value":"0925132","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-05-11","last_updated":"2026-02-19","_meta":{"source":"NPPES","snapshot_date":"2026-02-19","doc_url":"https://findmynpi.com/api"}}