Active NPI
Mariam Abolhassani, PHARMACIST
- Pharmacist
- Trabuco Canyon, CA
National Provider Identifier
1508201567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51459
- Practice address
- 31731 Capuchina Way
Trabuco Canyon, CA 92679-3615 - Phone
- (949) 636-5306
- NPI assigned
- May 5, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 51459 | CA | Primary |
Addresses
Primary practice location
31731 Capuchina Way
Trabuco Canyon, CA 92679-3615
Mailing address
31731 Capuchina Way
Trabuco Canyon, CA 92679-3615
Phone (949) 636-5306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
31731 Capuchina Way
Trabuco Canyon, CA 92679-3615
Phone (949) 636-5306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MTM Pharmacist Solutions, Inc | Pharmacist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacist
- Trabuco Canyon, CA
- NPI 1891657276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1508201567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31731 CAPUCHINA WAY",
"city": "TRABUCO CANYON",
"state": "CA",
"postal_code": "926793615",
"telephone_number": "949-636-5306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31731 CAPUCHINA WAY",
"city": "TRABUCO CANYON",
"state": "CA",
"postal_code": "926793615",
"telephone_number": "949-636-5306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOLHASSANI",
"first_name": "MARIAM",
"name_prefix": "Mrs.",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-05",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "51459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trabuco Canyon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.