Dr Larissa Creado, is a medicare enrolled "Dentist - General Practice" physician in Los Angeles, California. She graduated from medical school in 1994 and has 32 years of diverse experience with area of expertise as Dentist. She is a member of the group practice County Of Los Angeles and her current practice location is
2829 S Grand Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(213) 744-3986.
Dr Larissa Creado is licensed to practice in California (license number 45847) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265559520.
Physician's Profile
| Full Name | Dr Larissa Creado |
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| Gender | Female |
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| Speciality | Dentist |
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| Experience | 32 Years |
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| Location | 2829 S Grand Ave, Los Angeles, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Larissa Creado graduated from medical school in 1994
NPI Data:
- NPI Number: 1265559520
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 09/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385038520
- Enrollment ID: I20220303001764
Medical Identifiers
Medical identifiers for Dr Larissa Creado such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265559520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 45847 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 45847 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| County Of Los Angeles | 1850296534 | 383 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Larissa Creado allows following entities to bill medicare on her behalf.
| Entity Name | County Of Los Angeles |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851363188
PECOS PAC ID: 1850296534
Enrollment ID: O20031204001218 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Larissa Creado is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Larissa Creado,
2829 S Grand Ave,
Los Angeles, CA 90007-3304
Ph: (213) 744-3986 | Dr Larissa Creado,
2829 S Grand Ave,
Los Angeles, CA 90007-3304
Ph: (213) 744-3986 |
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