KHAYLA HERNANDEZ
NPI 1124800917
Marriage & Family Therapist in Moreno Valley, CA
About Khayla Hernandez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KHAYLA HERNANDEZ (NPI 1124800917) is an individual marriage & family therapist in Moreno Valley, California, licensed in California (160730) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Khayla Hernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Khayla Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Placentia, CA 92870
- Reassigned Medicare billing, California enrollment
- 150 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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Khayla Hernandez's NPI number?
The NPI number for Khayla Hernandez is 1124800917. It was assigned to this individual provider in the NPPES registry on October 17, 2023.
Where is Khayla Hernandez located?
Khayla Hernandez practices at 23311 Dracaea Ave, Moreno Valley, CA 92553. The listed phone number is (951) 571-4510.
What is Khayla Hernandez's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Khayla Hernandez enrolled in Medicare?
Yes. Khayla Hernandez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Khayla Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Khayla Hernandez reassigns Medicare benefits to Forward Wellness Family Therapy, Inc. (Placentia, 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 Khayla Hernandez'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 Khayla Hernandez was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Khayla Hernandez · NPI 1124800917
Marriage & Family Therapist provider in Moreno Valley, California. Individual provider, active in the CMS NPPES registry since October 17, 2023.
## Identity
- **NPI:** 1124800917 (Entity type: Individual)
- **Enumerated:** October 17, 2023
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 160730 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 23311 DRACAEA AVE, Moreno Valley, CA 92553-3201
- **Phone:** (951) 571-4510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Forward Wellness Family Therapy, Inc. (NPI 1093398059, Placentia, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124800917) · Data from the CMS NPPES public registry.