Active NPI
Khayla Hernandez
- Marriage & Family Therapist
- Moreno Valley, CA
National Provider Identifier
1124800917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 160730
- Practice address
- 23311 Dracaea Ave
Moreno Valley, CA 92553-3201 - Phone
- (951) 571-4510
- NPI assigned
- Oct 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 160730 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 14668 | CA |
Addresses
Primary practice location
23311 Dracaea Ave
Moreno Valley, CA 92553-3201
Mailing address
5863 Tree Top CT
San Jose, CA 95123-4346
Other practice location 1
6711 Arlington Ave Ste B
Riverside, CA 92504-1966
Phone (951) 352-3943
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1041 E Yorba Linda Blvd
Suite 202
Placentia, CA 92870-3760
6538 Jade CT
Eastvale, CA 92880-8551
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160730 | CA | MD | Marriage & Family Therapist |
| 14668 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1124800917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5863 TREE TOP CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951234346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23311 DRACAEA AVE",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925533201",
"telephone_number": "951-571-4510"
}
],
"practiceLocations": [
{
"address_1": "6711 Arlington Ave Ste B",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925041966",
"country_code": "US",
"telephone_number": "951-352-3943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "KHAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-17",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "160730",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "14668",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.