NPIMap

Individual provider Active NPI

Ruby Chuan Lo, M.D.

  • Vascular Surgery Physician
  • Campbell, CA
National Provider Identifier
1750519237
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A178062 Issued in CA
Practice address
2255 S Bascom Ave Ste 200
Campbell, CA 95008-7800
Phone
(408) 376-3626
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A178062 CA Primary

Addresses

Primary practice location

2255 S Bascom Ave Ste 200
Campbell, CA 95008-7800

Mailing address

2255 S Bascom Ave Ste 200
Campbell, CA 95008-7800
Phone (408) 376-3626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921003523 CA Practitioner - Vascular Surgery 5092063149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Polyxene Gazetas Kokinos MD PCGroup PAC ID 0244652386, 5 clinicians

Practice addresses (Care Compare)

8420 Church St
Gilroy, CA 95020-4229
Phone (408) 376-3626

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.3 of 100Reported as group
Quality
83.05
Promoting interoperability
82
Improvement activities
40
Cost
82.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion16
Varicose vein removal26
Leg revascularization (restoring blood flow)60
Removal of tissue30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A178062CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Associates of Monterey Bay Medical Corporation Vascular Surgery CurrentSince Aug 1, 2022 Accepting new patients
County of Santa Clara CurrentSince Feb 1, 2026 Accepting new patients
County of Santa Clara CurrentSince Feb 1, 2026 Accepting new patients
Polyxene Gazetas Kokinos MD PC Vascular Surgery CurrentSince Aug 1, 2025 Accepting new patients
El Camino Health Medical Network, LLC PastSince Aug 1, 2025 Accepting new patients

Locations

2255 S Bascom Ave
Ste 200
Campbell, CA 95008
Phone (408) 376-3626

8420 Church St
Gilroy, CA 95020
Phone (408) 376-3626

1668 Dominican Way
Santa Cruz, CA 95065
Phone (831) 464-9962

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rlo236242@santaclaravalley.direct-ci.net
  • FHIR API: https://api.platform.athenahealth.com/4301/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1750519237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S BASCOM AVE STE 200",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950087800",
            "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 200",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950087800",
            "telephone_number": "408-376-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "RUBY",
        "middle_name": "CHUAN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A178062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.