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SOUTH BAY ANGIOGRAPHY AND INTERVENTIONAL CENTER NPI 1124561303


NPI Information

NPI: 1124561303
Provider Name: SOUTH BAY ANGIOGRAPHY AND INTERVENTIONAL CENTER
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2255 S BASCOM AVE
SUITE 200
CAMPBELL, CA
ZIP 95008
Phone: (408) 376-3626
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SOUTH BAY ANGIOGRAPHY AND INTERVENTIONAL CENTER is a specialist in Campbell, CA. The provider is 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. SOUTH BAY ANGIOGRAPHY AND INTERVENTIONAL CENTER NPI is 1124561303. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2255 S BASCOM AVE
SUITE 200
CAMPBELL, CA
ZIP 95008-800
Phone: (408) 376-3626
Fax: (408) 871-2377

The provider's authorized official is Polyxene G Kokinos .
The authorized official title is Ceo and has the following contact phone number (408) 376-3626.

The enumeration date for this NPI number is 11/21/2016 and was last updated on 11/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyCALIFORNIANo
22085R0204XRadiologyVascular & Interventional RadiologyCALIFORNIANo
3174400000XSpecialistCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H71595MEDICARE UPINCALIFORNIA
2F95840MEDICARE UPINCALIFORNIA
3H73133MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.