JENNIFER CHANNUAL MD INC
NPI 1710485982
Dermatology in Laguna Hills, CA

Active since January 23, 2018
23521 PASEO DE VALENCIA STE 102, LAGUNA HILLS, CA 92653(949) 520-1815 Get Directions Write a Review

NPPES record last updated: January 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1710485982
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJENNIFER CHANNUAL MD INC
Location Address23521 PASEO DE VALENCIA STE 102Laguna Hills, CA 92653-3126
Mailing Address23521 Paseo De Valencia Ste 102Laguna Hills, CA 92653-3126 · (949) 520-1815
Organization SubpartNo
Authorized OfficialJennifer ChannualOwner · (949) 520-1815
Enumeration DateJanuary 23, 2018
✔ NPI 1710485982 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.
23521 PASEO DE VALENCIA STE 102, Laguna Hills, CA 92653

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

5

Medicare 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)

Dermatology
NPI 1689986374
23521 PASEO DE VALENCIA STE 102
Laguna Hills, CA 92653
(949) 520-1815
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1144717901
23521 PASEO DE VALENCIA STE 102
Laguna Hills, CA 92653
(978) 855-5560
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1396278156
25500 RANCHO NIGUEL RD STE 280
Laguna Niguel, CA 92677
(949) 448-0487
✔ PECOS✔ Accepts Medicare4.2 mi
Dermatology
NPI 1457616914
1506 E CHAPMAN AVE
Orange, CA 92866
(714) 538-8556
✔ PECOS✔ Accepts Medicare14 mi
Dermatology
NPI 1760970891
859 E FOOTHILL BLVD STE B
Upland, CA 91786
(909) 981-8929
✔ PECOS✔ Accepts Medicare34 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 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.