Healthcare Provider Details

I. General information

NPI: 1104537463
Provider Name (Legal Business Name): ROBERT CILENTI CPO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48521 WARM SPRINGS BLVD STE 317
FREMONT CA
94539-7792
US

IV. Provider business mailing address

48521 WARM SPRINGS BLVD STE 317
FREMONT CA
94539-7792
US

V. Phone/Fax

Practice location:
  • Phone: 510-770-9010
  • Fax: 855-230-1468
Mailing address:
  • Phone: 866-203-9810
  • Fax: 855-230-1468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code222Z00000X
TaxonomyOrthotist
License NumberCPO03870
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code224P00000X
TaxonomyProsthetist
License NumberCPO03870
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: