JOHN DAE HYUN YOO PA-C
NPI 1336974518
Physician Assistant - Medical in Colton, CA

Q: What is John Yoo's NPI number?

The NPI number for John Yoo is 1336974518. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Q: What is John Yoo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for John Yoo was last updated on September 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 05, 2024PECOS EnrolledAccepts Medicare Assignment

400 N PEPPER AVE, COLTON, CA 92324(900) 580-1000 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About John Dae Hyun Yoo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN DAE HYUN YOO PA-C (NPI 1336974518) is an individual medical provider in Colton, California, licensed in California (PA65011) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1336974518

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJOHN DAE HYUN YOOCredential: PA-C

Location Address400 N PEPPER AVEColton, CA 92324-1819

Mailing Address400 N Pepper AveColton, CA 92324-1819

Phone(900) 580-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 5, 2024

NPPES CertifiedSeptember 5, 2024

✔ NPI 1336974518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA65011

400 N PEPPER AVE, Colton, CA 92324

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Dae Hyun Yoo Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355875519

PECOS Enrollment IDI20241111000894

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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