MEDICARE: POLYXENE GAZETAS KOKINOS MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0204X	Vascular & Interventional Radiology Physician
2	2086S0129X	Vascular Surgery Physician

General Provider Information

NPI Number	:	1831687672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POLYXENE GAZETAS KOKINOS MD PC

Provider Business Mailing Address
First Line	:	2255 S BASCOM AVE STE 200
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-7800
Country	:	US
Telephone Number	:	408-376-3626
Fax Number	:

Provider Business Practice Location Address
First Line	:	2255 S BASCOM AVE STE 200
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-7800
Country	:	US
Telephone Number	:	408-376-3626
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	POLYXENE KOKINOS
Credential	:	MD
Telephone Number	:	408-218-6482

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	04/10/2026

Similar Medicare Providers

1679671259 — DR. POLYXENE G. KOKINOS MD
Practice Location Address:

2255 S BASCOM AVE , STE 200
CAMPBELL, CA
95008-7800

Practice Phone: 408-376-3626
Practice Fax: 408-871-2377

1114008554 — MRS. JENNIFER REBECCA MALLOY PA-C
Practice Location Address:

2255 S BASCOM AVE , SUITE 200
CAMPBELL, CA
95008-7800

Practice Phone: 408-376-3626
Practice Fax: 408-871-2377

1750519237 — MS. RUBY CHUAN LO M.D.
Practice Location Address:

2255 S BASCOM AVE STE 200
CAMPBELL, CA
95008-7800

Practice Phone: 408-376-3626
Practice Fax:

1952658742 — INSTITUTE FOR VASCULAR TESTING
Practice Location Address:

2255 S BASCOM AVE STE 205
CAMPBELL, CA
95008-7800

Practice Phone: 408-376-3626
Practice Fax:

1124561303 — SOUTH BAY ANGIOGRAPHY AND INTERVENTIONAL CENTER
Practice Location Address:

2255 S BASCOM AVE , SUITE 200
CAMPBELL, CA
95008-7800

Practice Phone: 408-376-3626
Practice Fax: 408-871-2377

1679007959 — RYAN GUPTA M.D.
Practice Location Address:

2255 S BASCOM AVE
CAMPBELL, CA
95008-7800

Practice Phone: 408-376-3626
Practice Fax:

Directions to “POLYXENE GAZETAS KOKINOS MD PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.