SOUTH BAY ANGIOGRAPHY AND INTERVENTIONAL CENTER
NPI 1124561303
Specialist in Campbell, CA

Q: What is South Bay Angiography And Interventional Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 21, 2016

2255 S BASCOM AVE, SUITE 200, CAMPBELL, CA 95008(408) 376-3626(408) 871-2377 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Bay Angiography And Interventional Center NPPES

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

SOUTH BAY ANGIOGRAPHY AND INTERVENTIONAL CENTER (NPI 1124561303) is a healthcare organization registered as a specialist in Campbell, California and active in the NPI registry since November 2016. The organization lists Polyxene G Kokinos, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124561303

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTH BAY ANGIOGRAPHY AND INTERVENTIONAL CENTER

Location Address2255 S BASCOM AVE, SUITE 200Campbell, CA 95008-7800

Mailing Address2255 S Bascom Ave, Suite 200Campbell, CA 95008-7800 · (408) 376-3626 · Fax (408) 871-2377

Phone(408) 376-3626

Fax(408) 871-2377

Organization SubpartNo

Authorized OfficialPolyxene G KokinosCeo · (408) 376-3626

Enumeration DateNovember 21, 2016

✔ NPI 1124561303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

2255 S BASCOM AVE, Campbell, CA 95008

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Other Identifiers 3

Medicare UPINH71595CA

Medicare UPINF95840CA

Medicare UPINH73133CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JENNIFER REBECCA MALLOY PA-C

Physician Assistant (Surgical)

2255 S BASCOM AVE, SUITE 200
CAMPBELL, CA 95008

Santa Clara County (408) 376-3626

RYAN GUPTA M.D.

Surgery (Vascular Surgery)

2255 S BASCOM AVE
CAMPBELL, CA 95008

Santa Clara County (408) 376-3626

DR. POLYXENE G. KOKINOS MD

Specialist

2255 S BASCOM AVE, STE 200
CAMPBELL, CA 95008

Santa Clara County (408) 376-3626

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 South Bay Angiography And Interventional Center's NPI number?

The NPI number for South Bay Angiography And Interventional Center is 1124561303. It was assigned to this organization in the NPPES registry on November 21, 2016.

Where is South Bay Angiography And Interventional Center located?

South Bay Angiography And Interventional Center is located at 2255 S Bascom Ave Suite 200, Campbell, CA 95008. The listed phone number is (408) 376-3626.

What is South Bay Angiography And Interventional Center's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for South Bay Angiography And Interventional Center was last updated on November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.