CARLA VIOLETA HERNANDEZ
NPI 1275017782
Social Worker in San Dimas, CA
About Carla Violeta Hernandez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLA VIOLETA HERNANDEZ (NPI 1275017782) is an individual social worker in San Dimas, California, licensed in California (85675) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carla Violeta Hernandez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carla Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 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.
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 Carla Hernandez's NPI number?
The NPI number for Carla Hernandez is 1275017782. It was assigned to this individual provider in the NPPES registry on September 20, 2018.
Where is Carla Hernandez located?
Carla Hernandez practices at 180 Via Verde Ste 100, San Dimas, CA 91773. The listed phone number is (909) 599-1227.
What is Carla Hernandez's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Carla Hernandez enrolled in Medicare?
Yes. Carla Hernandez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carla Hernandez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carla Hernandez reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Carla 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 Carla Hernandez was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Carla Violeta Hernandez · NPI 1275017782
Social Worker provider in San Dimas, California. Individual provider, active in the CMS NPPES registry since September 20, 2018.
## Identity
- **NPI:** 1275017782 (Entity type: Individual)
- **Enumerated:** September 20, 2018
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 85675 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 180 VIA VERDE STE 100, San Dimas, CA 91773-3993
- **Phone:** (909) 599-1227
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275017782) · Data from the CMS NPPES public registry.