NPI Details
DR. Jennifer Channual is a dermatology in Laguna Hills, CA with 17 years of experience. The provider is 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. DR. Jennifer Channual NPI is 1689986374. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year:2009
The provider's business location address is:
23521 PASEO DE VALENCIA STE 102
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 520-1815
The NPI 1689986374 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 05D2163005 - physician office with a certificate type of Certificate of Compliance.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks (HCPCS:17311)
- Punch biopsy, first skin growth (HCPCS:11104)
- Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks (HCPCS:17312)
- Injection into skin growth, 1-7 growths (HCPCS:11900)
- Simple or single drainage of skin abscess (HCPCS:10060)
- Destruction of skin growth, 15 or more growths (HCPCS:17111)
- Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
- Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
- Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 7/9/2010 and was last updated on 2/20/2019.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207N00000X | Dermatology | | A116489 | CALIFORNIA | Yes |