Individual provider Active NPI

Nicole R. Alba-Valencia, M.D.

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1194943944
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A94404 Issued in CA
Practice address
1060 Lincoln Ave # 20
San Jose, CA 95125-3110
Phone
(408) 471-0448
Fax
(408) 889-6226
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A94404 CA Primary

Addresses

Primary practice location

1060 Lincoln Ave # 20
San Jose, CA 95125-3110

Mailing address

1060 Lincoln Ave # 20
San Jose, CA 95125-3110
Phone (408) 471-0448

Other names 1

  • Dr. Nicole Riza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 26, 2025 through Sep 26, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94404CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1194943944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 LINCOLN AVE # 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253110",
            "telephone_number": "408-471-0448",
            "fax_number": "408-889-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 LINCOLN AVE # 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253110",
            "telephone_number": "408-471-0448",
            "fax_number": "408-889-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBA-VALENCIA",
        "first_name": "NICOLE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A94404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "RIZA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.