Individual provider Active NPI

Nicole Claire Devalle, MD

  • Family Medicine Physician
  • Castro Valley, CA
National Provider Identifier
1518455013
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A158195 Issued in CA
Practice address
20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone
(510) 247-6300
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A158195 CA Primary

Addresses

Primary practice location

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305

Mailing address

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305

Other practice location 1

275 W MacArthur Blvd
Oakland, CA 94611-5641
Phone (510) 625-6262

Other practice location 2

8120 Timberlake Way Ste 107
Sacramento, CA 95823-5413
Phone (916) 681-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200827001613 CA Practitioner - Family Practice 3779837166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

12 Camino Encinas
Orinda, CA 94563-3304
Phone (510) 204-8180

20101 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 886-3400

20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 727-3256

2500 Milvia St
Berkeley, CA 94704-2636
Phone (510) 204-5600

275 W Macarthur Blvd
Oakland, CA 94611-5641
Phone (510) 752-1000

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

8120 Timberlake Way
Suite 107
Sacramento, CA 95823-5413
Phone (916) 681-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158195CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Aug 31, 2020 Accepting new patients
Permanente Medical Group Inc Family Medicine Current Accepting new patients
Sutter Bay Medical Foundation Family Medicine CurrentSince Jul 14, 2025 Accepting new patients
Permanente Medical Group Inc Family Medicine CurrentSince Oct 8, 2023 Accepting new patients
Dignity Health Medical Foundation CurrentSince Aug 31, 2020 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Oct 8, 2023 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jul 14, 2025 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Sutter East Bay Medical Foundation Family Medicine Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations (25 of 39)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

2500 Milvia St
Berkeley, CA 94704
Phone (510) 204-5514

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

6555 Coyle Ave
Ste 280
Carmichael, CA 95608
Phone (916) 536-3540

20101 Lake Chabot Rd
Castro Valley, CA 94546
Phone (510) 247-6300

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

280 Sierra College Dr
Ste 120
Grass Valley, CA 95945
Phone (530) 477-4420

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

1800 Harrison St
Fl 7
Oakland, CA 94612

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

Interoperability endpoints

  • Direct secure messaging: ndevalle421718@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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 4

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1518455013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20101 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 LAKE CHABOT RD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465305",
            "telephone_number": "510-247-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 W MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946115641",
            "country_code": "US",
            "telephone_number": "510-625-6262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8120 Timberlake Way Ste 107",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958235413",
            "country_code": "US",
            "telephone_number": "916-681-6000",
            "fax_number": "916-681-6188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVALLE",
        "first_name": "NICOLE",
        "middle_name": "CLAIRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A158195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "275 W MacArthur Blvd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946115641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.