NPIMap

Organization Active NPI

Polyxene Gazetas Kokinos MD PC

  • Vascular Surgery Physician
  • Campbell, CA
National Provider Identifier
1831687672
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
POLYXENE GAZETAS KOKINOS MD PC
Practice address
2255 S Bascom Ave Ste 200
Campbell, CA 95008-7800
Phone
(408) 376-3626
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Polyxene Kokinos, MDNPI 1679671259
Title
Owner
Phone
(408) 218-6482

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X 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

Other practice location 1

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

Other names 1

  • South Bay Vascular Center and Vein Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200618002807 CA Part B Supplier - Clinic/Group Practice 0244652386 Receives reassigned benefits from 7 practitioners
Practice locations: Campbell, CA; Gilroy, CA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1831687672",
    "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"
        },
        {
            "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": [
        {
            "address_1": "8420 Church St",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950204229",
            "country_code": "US",
            "telephone_number": "408-376-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POLYXENE GAZETAS KOKINOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "KOKINOS",
        "authorized_official_first_name": "POLYXENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-218-6482",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay Vascular Center and Vein Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.