CONNIE MILLARE PASCO DMD
NPI 1700051968
Dentist - General Practice in Los Angeles, CA
About Connie Millare Pasco Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE MILLARE PASCO DMD (NPI 1700051968) is an individual general practice provider in Los Angeles, California, licensed in California (47955) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Connie Millare Pasco Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Connie Pasco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90026
- Reassigned Medicare billing, California enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90026
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 Connie Pasco's NPI number?
The NPI number for Connie Pasco is 1700051968. It was assigned to this individual provider in the NPPES registry on April 28, 2008.
Where is Connie Pasco located?
Connie Pasco practices at 150 N Reno St, Los Angeles, CA 90026. The listed phone number is (213) 380-7298.
What is Connie Pasco's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Connie Pasco enrolled in Medicare?
Yes. Connie Pasco is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Connie Pasco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Pasco reassigns Medicare benefits to Gracelight Community Health (Los Angeles, 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 Connie Pasco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connie Pasco accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Connie Pasco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Connie Pasco was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Connie Millare Pasco, DMD · NPI 1700051968
General Practice provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 28, 2008.
## Identity
- **NPI:** 1700051968 (Entity type: Individual)
- **Enumerated:** April 28, 2008
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 47955 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 N RENO ST, Los Angeles, CA 90026-4656
- **Phone:** (213) 380-7298 · **Fax:** (213) 385-5431
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Gracelight Community Health (NPI 1013083666, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1700051968) · Data from the CMS NPPES public registry.