Active NPI
Hyun Gyu Yoo, DPT
- Physical Therapist
- Fontana, CA
National Provider Identifier
1386577617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 310315
- Practice address
- 8545 Sierra Ave
Fontana, CA 92335-3868 - Phone
- (909) 365-3557
- Fax
- (909) 658-8987
- NPI assigned
- Jun 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 310315 | CA | Primary |
Addresses
Primary practice location
8545 Sierra Ave
Fontana, CA 92335-3868
Mailing address
6618 Ventura PL
Rancho Cucamonga, CA 91701-4406
Other practice location 1
527 N Palm Ave Ste 101
Ontario, CA 91762-3215
Phone (909) 983-3557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8545 Sierra Ave
Fontana, CA 92335-3868
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310315 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Rehab Center Physical Therapy a Professional Corporation | Physical Therapist | Current | Accepting new patients |
Locations
8545 Sierra Ave
Fontana, CA 92335
Phone (909) 365-3557
527 N Palm Ave
Ste 101
Ontario, CA 91762
Phone (909) 983-3557
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fontana, CA
- NPI 1669914396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1386577617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6618 VENTURA PL",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917014406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8545 SIERRA AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923353868",
"telephone_number": "909-365-3557",
"fax_number": "909-658-8987"
}
],
"practiceLocations": [
{
"address_1": "527 N Palm Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917623215",
"country_code": "US",
"telephone_number": "909-983-3557",
"fax_number": "909-658-8985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOO",
"first_name": "HYUN GYU",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-05",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "310315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.