Provider Demographics
NPI:1194943944
Name:ALBA-VALENCIA, NICOLE R (MD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:R
Last Name:ALBA-VALENCIA
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:RIZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1060 LINCOLN AVE # 20
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-3110
Mailing Address - Country:US
Mailing Address - Phone:408-471-0448
Mailing Address - Fax:408-889-6226
Practice Address - Street 1:1060 LINCOLN AVE # 20
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-3110
Practice Address - Country:US
Practice Address - Phone:408-471-0448
Practice Address - Fax:408-889-6226
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA944042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry