Individual provider Active NPI

Peter Yoo, M.D.

  • Diagnostic Radiology Physician
  • Upland, CA
National Provider Identifier
1609046044
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A99298 Issued in CA
Practice address
999 San Bernardino Rd
Department of Radiology
Upland, CA 91786-4920
Phone
(909) 985-2811
Fax
(909) 456-1255
NPI assigned
Feb 29, 2008
Last updated
Feb 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A99298 CA Primary

Addresses

Primary practice location

999 San Bernardino Rd
Department of Radiology
Upland, CA 91786-4920

Mailing address

9320 Baseline Rd
Suite C
Rancho Cucamonga, CA 91701-5829
Phone (909) 466-4231

Other identifiers 2

IdentifierTypeStateIssuer
GR0014700MedicaidCA
A99298OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080523000544 CA Practitioner - Diagnostic Radiology 7719056209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Antonio Radiological MedicalGroup PAC ID 8325035942, 54 clinicians

Practice addresses (Care Compare)

12442 Limonite Ave
Eastvale, CA 91752-2467
Phone (951) 393-3010

16465 Sierra Lakes Pkwy
Fontana, CA 92336-1242
Phone (909) 434-1124

7777 Milliken Ave
Rancho Cucamonga, CA 91730-6780
Phone (909) 948-8000

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A99298CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Radiological Medical Diagnostic Radiology CurrentSince May 1, 2008 Accepting new patients
Claremont Imaging Associates, a Medical Corporation Diagnostic Radiology CurrentSince May 15, 2022 Accepting new patients

Locations

12442 Limonite Ave
Eastvale, CA 91752
Phone (951) 344-4451

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

9320 Base Line Rd
Ste C
Rancho Cucamonga, CA 91701
Phone (909) 920-4710

7777 Milliken Ave
Rch Cucamonga, CA 91730
Phone (877) 404-6738

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1609046044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 BASELINE RD",
            "address_2": "SUITE C",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917015829",
            "telephone_number": "909-466-4231",
            "fax_number": "909-456-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SAN BERNARDINO RD",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864920",
            "telephone_number": "909-985-2811",
            "fax_number": "909-456-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A99298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0014700",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A99298",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.