Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Diem Phuc Thuc Banh, DO

Individual provider Anesthesiology Physician · NPI 1639465446

Dr. Diem Phuc Thuc Banh, DO is an Anesthesiology in Moreno Valley, California. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2011, 15 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
15
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
VA
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

26520 Cactus Ave Gme Ofc Rm A1005
Moreno Valley, CA 92555-3927
Phone: (951) 486-5908
Fax: (951) 486-5901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 0102204489 (VA)

Record details

NPI number1639465446
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 21, 2011
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2011 (15 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Moreno Valley