Institute for Vascular Testing

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

INSTITUTE FOR VASCULAR TESTING

Practice address

2255 S Bascom Ave Ste 205
Campbell, CA 95008-6903

Phone

(408) 376-3626

Fax

(408) 871-2377

NPI assigned

Mar 18, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Polyxene Kokinos, M.D.NPI 1679671259

Title

Director

Phone

(408) 376-3626

Specialties & licenses 1

Addresses

Other names 1

• IVT Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Ivt2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Institute for Vascular Testing

  • Vascular-Interventional Technology Radiologic Technologist
  • Campbell, CA
  • NPI 1952658742
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Polyxene G. Kokinos, MD

  • Specialist
  • Campbell, CA
  • NPI 1679671259
  NPD Authorized official

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1255758025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S BASCOM AVE STE 205",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086903",
            "telephone_number": "408-376-3626",
            "fax_number": "408-871-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 S BASCOM AVE STE 205",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086903",
            "telephone_number": "408-376-3626",
            "fax_number": "408-871-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR VASCULAR TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "KOKINOS",
        "authorized_official_first_name": "POLYXENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "408-376-3626",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IVT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bamboo Ilana, L.AC.
• Ingham Healthcare a Professional Corporation
• Alicia Ingram
• Kaitlin Ingram
• Kevin Carlton Ingram
• Institute for Vascular Testing
• Katie Ion, AMFT
• Wendy Eileen Irwin
• Lori Ismail, LORI ISMAIL AAHCC
• Emily Itatani

• Diagnostic Radiology Physician in Campbell, CA
• Providers in Campbell, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.