Individual provider Active NPI

Bo Yu, DDS, PHD, FACD

  • Dentist
  • Diamond Bar, CA
National Provider Identifier
1851823082
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101053 Issued in CA
Practice address
1391 S Diamond Bar Blvd
Diamond Bar, CA 91765-2208
Phone
(909) 903-8885
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101053 CA Primary

Addresses

Primary practice location

1391 S Diamond Bar Blvd
Diamond Bar, CA 91765-2208

Mailing address

390 S Sepulveda Blvd Apt 305
Los Angeles, CA 90049-3141
Phone (424) 393-6558

Other practice location 1

2724 Sepulveda Blvd
Torrance, CA 90505-2952
Phone (310) 539-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
101053CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bo Yu DDS Inc CurrentSince Dec 7, 2025 Accepting new patients
Dr. Soon No Kim DDS Inc PastSince Sep 15, 2024 Accepting new patients

Locations

1391 S Diamond Bar Blvd
Diamond Bar, CA 91765
Phone (909) 860-1222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1851823082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S SEPULVEDA BLVD APT 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493141",
            "telephone_number": "424-393-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 S DIAMOND BAR BLVD",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652208",
            "telephone_number": "909-903-8885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2724 Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905052952",
            "country_code": "US",
            "telephone_number": "310-539-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "BO",
        "credential": "DDS, PHD, FACD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.