1. Home
  2. Directory
  3. California
  4. Twentynine Palms
  5. Speech Language Pathologist
  6. NPI Profile

LLANA PACO
NPI 1255219804
Speech-Language Pathologist in Twentynine Palms, CA

Active since August 22, 2025
5930 ADOBE RD, TWENTYNINE PALMS, CA 92277(760) 367-1743 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Llana Paco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LLANA PACO (NPI 1255219804) is an individual speech-language pathologist provider in Twentynine Palms, California and active in the NPI registry since August 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1255219804
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLLANA PACO
Location Address5930 ADOBE RDTwentynine Palms, CA 92277-2356
Mailing Address74455 Joe Davis Dr Apt 154Twentynine Palms, CA 92277-2380
Phone(760) 367-1743
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1255219804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
5930 ADOBE RD, Twentynine Palms, CA 92277
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Llana Paco is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426554585
PECOS Enrollment IDI20250929003308

Medicare Billing Reassignment

Medicare enrollment records show Llana Paco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

H.D.P.R.G., Inc
Same address
Speech-Language Pathologist
5930 ADOBE RD
Twentynine Palms, CA 92277
  • Reassigned Medicare billing, California enrollment
  • 34 clinicians in this Medicare group
NPI 1295886067 (760) 367-1743

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLYANN ELISE RILEY OTR/L
Occupational Therapist
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-1743
MS. DEANDRA LEIGH CONTANGELO M.S. ED., CF-SLP
Speech-Language Pathologist
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-1743
MRS. JESSICA SUE CHAVEZ PTA
Physical Therapy Assistant
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-1743
PAULINE ADE
Physical Therapy Assistant
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-1743
JENNIFER DIEMART M.A.
Speech-Language Pathologist
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-1743
MR. MARVIN IRA GREEN COTA
Occupational Therapy Assistant
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-1743
JENNIFER JOHANNE KOZLOWSKI MSPT
Physical Therapist
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-1743
BRITTANY VAN NIELEN DPT
Clinic/Center (Physical Therapy)
5930 ADOBE RD
TWENTYNINE PALMS, CA 92277
San Bernardino County (760) 367-1742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Llana Paco's NPI number?

The NPI number for Llana Paco is 1255219804. It was assigned to this individual provider in the NPPES registry on August 22, 2025.

Where is Llana Paco located?

Llana Paco practices at 5930 Adobe Rd, Twentynine Palms, CA 92277. The listed phone number is (760) 367-1743.

What is Llana Paco's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Llana Paco enrolled in Medicare?

Yes. Llana Paco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Llana Paco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Llana Paco reassigns Medicare benefits to H.D.P.R.G., Inc (Twentynine Palms, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Llana Paco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Llana Paco was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.