Provider Demographics
NPI:1104537463
Name:CILENTI, ROBERT (CPO)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:CILENTI
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48521 WARM SPRINGS BLVD STE 317
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-7792
Mailing Address - Country:US
Mailing Address - Phone:866-203-9810
Mailing Address - Fax:855-230-1468
Practice Address - Street 1:48521 WARM SPRINGS BLVD STE 317
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-7792
Practice Address - Country:US
Practice Address - Phone:510-770-9010
Practice Address - Fax:855-230-1468
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPO03870222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist