JENNIFER CHANNUAL MD INC
NPI 1710485982
Dermatology in Laguna Hills, CA
About Jennifer Channual Md Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER CHANNUAL MD INC (NPI 1710485982) is a healthcare organization registered as a dermatology in Laguna Hills, California and active in the NPI registry since January 2018. The organization lists Jennifer Channual, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Channual Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Jennifer Channual MD Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Laguna Hills, CA 92653
Laguna Hills, CA 92653
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 Channual MD Inc's NPI number?
The NPI number for Jennifer Channual MD Inc is 1710485982. It was assigned to this organization in the NPPES registry on January 23, 2018.
Where is Jennifer Channual MD Inc located?
Jennifer Channual MD Inc is located at 23521 Paseo De Valencia Ste 102, Laguna Hills, CA 92653. The listed phone number is (949) 520-1815.
What is Jennifer Channual MD Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Jennifer Channual MD Inc enrolled in Medicare?
Yes. Jennifer Channual MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jennifer Channual MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Dermatology, reassign their Medicare billing to Jennifer Channual MD Inc. 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. Of these, 2 practice at this address and 3 within 10 miles. 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 Channual MD Inc was last updated on January 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.