Healthcare Provider Details

I. General information

NPI: 1780503391
Provider Name (Legal Business Name): ALLY MOBILITY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4633 OLD IRONSIDES DR STE 270A
SANTA CLARA CA
95054-1844
US

IV. Provider business mailing address

4633 OLD IRONSIDES DR STE 270A
SANTA CLARA CA
95054-1844
US

V. Phone/Fax

Practice location:
  • Phone: 855-333-2559
  • Fax: 408-564-4236
Mailing address:
  • Phone: 855-333-2559
  • Fax: 408-564-4236

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: MATTHEW ESPIRITU
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 408-858-5168