Individual provider Active NPI

Atien Marius Kouassi, RCP, RRT, CPFT

  • Pulmonary Function Technologist
  • Sacramento, CA
National Provider Identifier
1316544463
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Function TechnologistTaxonomy code 225B00000X
License
135329 Issued in CA
Practice address
5366 Kankakee Dr
Sacramento, CA 95835-3058
Phone
(916) 248-1026
NPI assigned
Oct 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Function Technologist 225B00000X 135329 CA Primary

Addresses

Primary practice location

5366 Kankakee Dr
Sacramento, CA 95835-3058

Mailing address

5366 Kankakee Dr
Sacramento, CA 95835-3058
Phone (916) 248-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135329CAMDPulmonary Function Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rapha Express Pulmonary Function Technologist CurrentSince Oct 19, 2020 Accepting new patients
Rapha Express CurrentSince Oct 22, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1316544463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5366 KANKAKEE DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958353058",
            "telephone_number": "916-248-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5366 KANKAKEE DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958353058",
            "telephone_number": "916-248-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUASSI",
        "first_name": "ATIEN",
        "middle_name": "MARIUS",
        "name_prefix": "Mr.",
        "credential": "RCP, RRT, CPFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225B00000X",
            "taxonomy_group": "",
            "desc": "Pulmonary Function Technologist",
            "state": "CA",
            "license": "135329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.