Dr Gustavo Calleros, MD | |
50 Bellefontaine St, Suite 401, Pasadena, CA 91105-3132 | |
(626) 793-1931 | |
(626) 793-0161 |
Full Name | Dr Gustavo Calleros |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 50 Bellefontaine St, Pasadena, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346358827 | NPI | - | NPPES |
GR0084064 | Medicaid | CA | |
GR0084061 | Medicaid | CA | |
00A74210 | Medicaid | CA | |
GR0084062 | Medicaid | CA | |
A74210 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A74210 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
White Memorial Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Modern Concepts Medical Group Inc | 6901793041 | 3 |
Entity Name | Modern Concepts Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790738243 PECOS PAC ID: 6901793041 Enrollment ID: O20040302001418 |
Mailing Address | Practice Location Address |
---|---|
Dr Gustavo Calleros, MD 1217 W Whittier Blvd, Montebello, CA 90640-4642 Ph: (323) 728-6070 | Dr Gustavo Calleros, MD 50 Bellefontaine St, Suite 401, Pasadena, CA 91105-3132 Ph: (626) 793-1931 |
Dr. Matthew John Sexter, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1845 N Fair Oaks Ave # G-151, Pasadena, CA 91103 Phone: 562-867-7999 | |
Dr. Cindy Justo Uypitching, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Congress St, Ste 208, Pasadena, CA 91105 Phone: 626-795-4210 Fax: 626-795-0740 | |
Dr. Arthur Mark Ayvazian, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 10 Congress St Ste 208, Pasadena, CA 91105 Phone: 626-792-2166 Fax: 626-795-0740 | |
Dr. John Y. F. Tsai, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1239 Arden Road Mc1-8, Pasadena, CA 91125 Phone: 626-395-6393 | |
Dr. Lauren Wolchok, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1845 N Fair Oaks Ave Ste G-151, Pasadena, CA 91103 Phone: 562-867-7999 | |
Dr. Tina I Harutunians, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 N Lake Ave, Pasadena, CA 91101 Phone: 626-405-6442 | |
Alina Ter-grigorian, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1100 Valley View Ave, Pasadena, CA 91107 Phone: 626-316-3008 |