Healthcare Provider Details

I. General information

NPI: 1902729312
Provider Name (Legal Business Name): RIFT VALLEY MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1750 STOKES STREET APT. 129
SAN JOSE CA
95126
US

IV. Provider business mailing address

710 LAKEWAY DR
SUNNYVALE CA
94085-4006
US

V. Phone/Fax

Practice location:
  • Phone: 669-293-8955
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BASHIR RABOYE
Title or Position: OWNER/OPERATOR
Credential:
Phone: 669-293-8955