Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER HAYHURST PHYSICIAN ASSISTANT APC
NPI 1699456392
Dermatology in Redlands, CA

Active since July 26, 2023
1845 W REDLANDS BLVD STE 104, REDLANDS, CA 92373(909) 551-3376(909) 363-9895 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Oct 12, 2023, Aug 8, 2023 and 1 more (4 updates tracked since 2023).

About Jennifer Hayhurst Physician Assistant Apc NPPES

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

JENNIFER HAYHURST PHYSICIAN ASSISTANT APC (NPI 1699456392), doing business as Radiant Dermatology, is a healthcare organization registered as a dermatology in Redlands, California and active in the NPI registry since July 2023. The organization maintains a secondary practice location in Redlands and lists Jennifer Hayhurst, Owner, as its authorized official.

NPPES Registry Identity

NPI1699456392
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJENNIFER HAYHURST PHYSICIAN ASSISTANT APC
Location Address1845 W REDLANDS BLVD STE 104Redlands, CA 92373-3125
Mailing Address1340 Morrison DrRedlands, CA 92374-5445 · (909) 551-3376 · Fax (909) 363-9895
Fax(909) 363-9895
Organization SubpartNo
Authorized OfficialJennifer HayhurstOwner · (949) 836-1262
Enumeration DateJuly 26, 2023
Last NPPES UpdateOctober 13, 20264 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1699456392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1845 W REDLANDS BLVD STE 104, Redlands, CA 92373

Other Names 1

Doing Business AsRadiant Dermatology

Secondary Practice Location 1

Location 117 S 5th St Ste DRedlands, CA 92373-4737 · Phone (909) 551-3376 · Fax (909) 363-9895

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Hayhurst Physician Assistant Apc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jennifer Hayhurst Physician Assistant Apc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1659485746
25084 BARTON RD APT B
Loma Linda, CA 92354
(909) 796-2211
✔ PECOS✔ Accepts Medicare2.5 mi

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 Jennifer Hayhurst Physician Assistant Apc's NPI number?

The NPI number for Jennifer Hayhurst Physician Assistant Apc is 1699456392. It was assigned to this organization in the NPPES registry on July 26, 2023. The provider is doing business as Radiant Dermatology.

Where is Jennifer Hayhurst Physician Assistant Apc located?

Jennifer Hayhurst Physician Assistant Apc is located at 1845 W Redlands Blvd Ste 104, Redlands, CA 92373. The listed phone number is (909) 551-3376.

What is Jennifer Hayhurst Physician Assistant Apc's specialty?

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

Is Jennifer Hayhurst Physician Assistant Apc enrolled in Medicare?

Yes. Jennifer Hayhurst Physician Assistant Apc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jennifer Hayhurst Physician Assistant Apc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Jennifer Hayhurst Physician Assistant Apc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Hayhurst Physician Assistant Apc was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.