ASEALA ABOUSAUD, PharmD, BCOP, APh — NPI 1396611869 (Licensed & Credentialed Pharmacist, Oncology in WALNUT CREEK, CA)

CMS-1500 Box 24J / 33a • NPI

1396611869

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

1835X0200X

Licensed & Credentialed Pharmacist, Oncology

Box 32 Service Location & ZIP+4

177 LA CASA VIA STE 300, WALNUT CREEK, CA, 94598-6101

✓ 9-Digit EDI 837 ZIP+4 (94598-6101)

Practice Phone & Referral Fax

(925) 692-5647

Fax: (925) 692-5908

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1396611869 (ASEALA ABOUSAUD, PharmD, BCOP, APh) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1396611869` (NPI-1 Individual Practitioner)
Provider / Legal Name	ASEALA ABOUSAUD, PharmD, BCOP, APh
Plain-English Specialty	Licensed & Credentialed Pharmacist, Oncology NUCC Code: `1835X0200X` (Pharmacist, Oncology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	177 LA CASA VIA STE 300, WALNUT CREEK, CA, 94598-6101
Practice Telephone / Fax	Tel: (925) 692-5647 \| Fax: (925) 692-5908
Administrative Mailing Address	99 ASPEN LN, PITTSBURG, CA, 94565-5490
Enumeration & Last Sync	Enumerated: 2025-10-13 \| CMS Record Updated: 2025-10-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

177 LA CASA VIA STE 300, WALNUT CREEK, CA, 94598-6101

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Plain-English Taxonomy & CMS Crosswalk (1835X0200X)

What Does Taxonomy Code 1835X0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835X0200X translates to:
"Licensed & Credentialed Pharmacist, Oncology"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacist, Oncology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ASEALA ABOUSAUD, PharmD, BCOP, APh)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1835P0018X` — Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Plain English: Licensed & Credentialed Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	State: CA \| License: `90732` \| Primary: Secondary
`1835P1200X` — Pharmacist, Pharmacotherapy Plain English: Licensed & Credentialed Pharmacist, Pharmacotherapy	State: CA \| License: `90732` \| Primary: Secondary
`1835P2201X` — Pharmacist, Ambulatory Care Plain English: Licensed & Credentialed Pharmacist, Ambulatory Care	State: CA \| License: `90732` \| Primary: Secondary
`1835X0200X` — Pharmacist, Oncology Plain English: Licensed & Credentialed Pharmacist, Oncology	State: CA \| License: `90732` \| Primary: Yes (Primary)

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ASEALA ABOUSAUD, PharmD, BCOP, APh (NPI #1396611869)