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MANNIX KALALA KABANGU SA-C
NPI 1093690257
Specialist/Technologist, Other - Surgical Assistant in Puyallup, WA

Active since August 07, 2025
16816 116TH AVENUE CT E, PUYALLUP, WA 98374(206) 510-7233 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mannix Kalala Kabangu Sa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANNIX KALALA KABANGU SA-C (NPI 1093690257) is an individual surgical assistant in Puyallup, Washington, licensed in (25-131) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1093690257
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMANNIX KALALA KABANGUCredential: SA-C
Location Address16816 116TH AVENUE CT EPuyallup, WA 98374-9119
Mailing Address16816 116th Avenue Ct EPuyallup, WA 98374-9119 · (206) 510-7233
Phone(206) 510-7233
Sole ProprietorNo
Enumeration DateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
✔ NPI 1093690257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed · 25-131
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
16816 116TH AVENUE CT E, Puyallup, WA 98374
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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 Mannix Kabangu's NPI number?

The NPI number for Mannix Kabangu is 1093690257. It was assigned to this individual provider in the NPPES registry on August 7, 2025.

Where is Mannix Kabangu located?

Mannix Kabangu practices at 16816 116th Avenue Ct E, Puyallup, WA 98374. The listed phone number is (206) 510-7233.

What is Mannix Kabangu's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Mannix Kabangu was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.