Diem Phuc Thuc Banh, D.O.
NPI 1639465446ActiveIndividual· Anesthesiology· Moreno Valley, CA
Anesthesiology (D.O.) in Moreno Valley, California, trained at Edward Via Col of Osteo Medicine-Virginia Campus (class of 2011). Enrolled in Medicare as practitioner - anesthesiology.
Overview
| NPI | 1639465446 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Jun 21, 2011 |
| Last updated in NPPES | Dec 22, 2021 |
| Certified by provider | Dec 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 0102204489 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (CA) |
|---|
Education and affiliations
| Medical school | Edward Via Col of Osteo Medicine-Virginia Campus |
|---|---|
| Graduation year | 2011 |
| Medicare specialty | Anesthesiology |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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