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DR. LARISSA CREADO
NPI 1265559520
Dentist - General Practice in Los Angeles, CA

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment
2829 S GRAND AVE, LOS ANGELES, CA 90007(213) 744-3986 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larissa Creado NPPES

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

DR. LARISSA CREADO (NPI 1265559520) is an individual general practice provider in Los Angeles, California, licensed in California (45847) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1265559520
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LARISSA CREADO
Location Address2829 S GRAND AVELos Angeles, CA 90007-3304
Mailing Address2829 S Grand AveLos Angeles, CA 90007-3304 · (213) 744-3986
Phone(213) 744-3986
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMarch 23, 2007
Last NPPES UpdateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1265559520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 45847
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 45847 (CA)
2829 S GRAND AVE, Los Angeles, CA 90007
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Larissa Creado is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385038520
PECOS Enrollment IDI20220303001764
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90007 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MISS MARTHA EMILY MURIEL NURSE PRACTITIONER
Nurse Practitioner (Family)
2829 S GRAND AVE, ROOM # 213
LOS ANGELES, CA 90007
Los Angeles County (213) 744-6120
SOCORRO MARIE CHISHOLM N.P.
Nurse Practitioner (Women's Health)
2829 S GRAND AVE
LOS ANGELES, CA 90007
Los Angeles County (213) 744-3734
MS. FILAM JOI DEL VALLE
Pharmacist
2829 S GRAND AVE
LOS ANGELES, CA 90007
Los Angeles County (213) 699-7000
DR. LAVANYA CHADALAVADA
Internal Medicine
2829 S GRAND AVE
LOS ANGELES, CA 90007
Los Angeles County (213) 744-3750
KATIE HEEYON YUM
Pharmacist
2829 S GRAND AVE
LOS ANGELES, CA 90007
Los Angeles County (213) 744-3743
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Clinic/Center
2829 S GRAND AVE
LOS ANGELES, CA 90007
Los Angeles County (213) 744-3677
JUDITH WATSON M.D.
Specialist
2829 S GRAND AVE
LOS ANGELES, CA 90007
Los Angeles County (213) 744-3812
JAMIE KIM
Pharmacist (Ambulatory Care)
2829 S GRAND AVE
LOS ANGELES, CA 90007
Los Angeles County (213) 699-7000

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 Larissa Creado's NPI number?

The NPI number for Larissa Creado is 1265559520. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Larissa Creado located?

Larissa Creado practices at 2829 S Grand Ave, Los Angeles, CA 90007. The listed phone number is (213) 744-3986.

What is Larissa Creado's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Larissa Creado enrolled in Medicare?

Yes. Larissa Creado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Larissa Creado was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.