MANNIX KALALA KABANGU (SA-C) – Surgical Assistant, NPI 1093690257

MANNIX KALALA KABANGU (SA-C) is a healthcare provider. based in Puyallup, Washington. specializing in Surgical Assistant. They hold the professional credentials SA-C. They hold a License No. 25-131 (). The NPI Number for MANNIX KALALA KABANGU (SA-C) is 1093690257

Main info

Male
Name
MANNIX KALALA KABANGU (SA-C)
NPI
1093690257
Phone
(206) 510-7233
Address
16816 116TH AVENUE CT E
Enumeration Date
7 August 2025
Last Update Date
7 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for MANNIX KALALA KABANGU (SA-C)

  • 16816 116TH AVENUE CT E

    PUYALLUP, WA 983749119

    Phone: (206) 510-7233

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98374)

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Frequently asked questions

Can I verify MANNIX KALALA KABANGU (SA-C) with an NPI only?
You can start verification with NPI 1093690257 for MANNIX KALALA KABANGU (SA-C), then check state licensing separately.
Is MANNIX KALALA KABANGU (SA-C) listed as active for patients and plans?
The listing shows MANNIX KALALA KABANGU (SA-C) as active in the NPI system.
What is MANNIX KALALA KABANGU (SA-C)'s primary classification?
Surgical Assistant is the headline specialty for MANNIX KALALA KABANGU (SA-C) here. Clinical services aligned with this taxonomy classification.
Where is MANNIX KALALA KABANGU (SA-C) based?
MANNIX KALALA KABANGU (SA-C) is tied to Puyallup, Washington in the data we show; additional addresses may exist on the full record.
Why does MANNIX KALALA KABANGU (SA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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