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DR. JENNIFER CHANNUAL
NPI 1689986374
Dermatology in Laguna Hills, CA

Active since July 09, 2010PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2312978 · Certificate of Compliance
75/100
CMS Quality Rating
23521 PASEO DE VALENCIA STE 102, LAGUNA HILLS, CA 92653(949) 520-1815 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 20, 2019, Dec 5, 2018, Jan 15, 2018 (3 updates tracked since 2018).

About Dr. Jennifer Channual NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER CHANNUAL (NPI 1689986374) is an individual dermatology provider in Laguna Hills, California, licensed in California (A116489) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through April 13, 2028, and is a graduate of University Of California, Irvine, California College Of Medicine (2009).

NPPES Registry Identity

NPI1689986374
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. JENNIFER CHANNUAL
Location Address23521 PASEO DE VALENCIA STE 102Laguna Hills, CA 92653
Mailing Address23521 Paseo De Valencia Ste 102Laguna Hills, CA 92653-3126
Phone(949) 520-1815
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2009
Enumeration DateJuly 9, 2010
Last NPPES UpdateFebruary 20, 20193 updates tracked since enumeration
✔ NPI 1689986374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A116489
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
23521 PASEO DE VALENCIA STE 102, Laguna Hills, CA 92653
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Channual is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961642939
PECOS Enrollment IDI20130716000382
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D2312978

Jennifer Channual,md, Inc Newport Cove Dermatology · Newport Beach, CA
Active · expires Apr 13, 2028
CLIA Number05D2312978
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorJennifer Channual
Laboratory Phone(949) 868-6382
Laboratory LocationJennifer Channual,md, Inc Newport Cove Dermatology180 Newport Center Dr Ste 270, Newport Beach, CA 92660
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
269 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
108 services91 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
75 services63 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
44 services40 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
33 services26 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
32 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92653 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON TRODELLO
Dermatology
23521 PASEO DE VALENCIA STE 102
LAGUNA HILLS, CA 92653
Orange County (978) 855-5560
JENNIFER CHANNUAL MD INC
Dermatology
23521 PASEO DE VALENCIA STE 102
LAGUNA HILLS, CA 92653
Orange County (949) 520-1815

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 Jennifer Channual's NPI number?

The NPI number for Jennifer Channual is 1689986374. It was assigned to this individual provider in the NPPES registry on July 9, 2010.

Where is Jennifer Channual located?

Jennifer Channual practices at 23521 Paseo De Valencia Ste 102, Laguna Hills, CA 92653. The listed phone number is (949) 520-1815.

What is Jennifer Channual's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jennifer Channual enrolled in Medicare?

Yes. Jennifer Channual is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Jennifer Channual hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D2312978) is associated with this NPI, valid through April 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jennifer Channual was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.