MATTHYS ALEJANDRO MORENO-DERKS
NPI 1790085363
Psychologist in San Jacinto, CA
About Matthys Alejandro Moreno-derks NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHYS ALEJANDRO MORENO-DERKS (NPI 1790085363) is an individual psychologist in San Jacinto, California and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthys Alejandro Moreno-derks is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Matthys Moreno-derks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rancho Mirage, CA 92270
- 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.
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.
SAN JACINTO, CA 92583
SAN JACINTO, CA 92583
SAN JACINTO, CA 92583
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 Matthys Moreno-derks's NPI number?
The NPI number for Matthys Moreno-derks is 1790085363. It was assigned to this individual provider in the NPPES registry on October 28, 2010.
Where is Matthys Moreno-derks located?
Matthys Moreno-derks practices at 1695 S San Jacinto Ave Ste A-D&f, San Jacinto, CA 92583. The listed phone number is (951) 330-3100.
What is Matthys Moreno-derks's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Matthys Moreno-derks enrolled in Medicare?
Yes. Matthys Moreno-derks is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Matthys Moreno-derks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthys Moreno-derks reassigns Medicare benefits to Tobias Moeller-Bertram MD Corporation (Rancho Mirage, 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 Matthys Moreno-derks'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 Matthys Moreno-derks was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.