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DR. DIEM PHUC THUC BANH D.O.
NPI 1639465446
Anesthesiology in Moreno Valley, CA

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment
26520 CACTUS AVE, GME OFFICE ROOM A1005, MORENO VALLEY, CA 92555(951) 486-5908(951) 486-5901 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 22, 2021, Nov 15, 2016 (2 updates tracked since 2016).

About Dr. Diem Phuc Thuc Banh D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIEM PHUC THUC BANH D.O. (NPI 1639465446) is an individual anesthesiology provider in Moreno Valley, California, licensed in Virginia (0102204489) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2011).

NPPES Registry Identity

NPI1639465446
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. DIEM PHUC THUC BANHCredential: D.O.
Location Address26520 CACTUS AVE, GME OFFICE ROOM A1005Moreno Valley, CA 92555-3927
Mailing Address26520 Cactus Ave, Gme Office Room A1005Moreno Valley, CA 92555-3927 · (951) 486-5908 · Fax (951) 486-5901
Phone(951) 486-5908
Fax(951) 486-5901
Sole ProprietorYes
Medical School CMSEdward Via Col Of Osteo Medicine-virginia CampusGraduated 2011
Enumeration DateJune 21, 2011
Last NPPES UpdateDecember 22, 20212 updates tracked since enumeration
NPPES CertifiedDecember 22, 2021
✔ NPI 1639465446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in VA · 0102204489
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
26520 CACTUS AVE, Moreno Valley, CA 92555
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Diem Phuc Thuc Banh D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345536231
PECOS Enrollment IDI20201006000888
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Diem Phuc Banh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
16 mi
Health Maintenance Organization
10800 MAGNOLIA AVE
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1952333460 (California)
  • 5,228 clinicians in this Medicare group
NPI 1316979834 (866) 984-7483
Talbert Anesthesia Group Incorporated
51 mi
Anesthesiology
10904 REAGAN ST
Los Alamitos, CA 90720
  • Reassigned Medicare billing, California enrollment
  • 63 clinicians in this Medicare group
NPI 1144626714 (562) 596-3140

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%750 patients5/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
98%854 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARINA BOYARSKY M.D.
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE, FAMILY MEDICINE RESIDENCY PROGRAM
MORENO VALLEY, CA 92555
Riverside County (951) 486-5611
DR. THU KIEU NGUYEN HUYNH PHARM.D.
Pharmacist
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4613
ASHA PATEL RAJ DO
Family Medicine
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (714) 904-8341
COUNTY OF RIVERSIDE
Clinic/Center (Primary Care)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
MERETT W SAAD DO
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
GRACE SHINN
Pharmacist (Emergency Medicine)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
NOLAN S LANGFORD
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-5434
DR. MY NGUYEN D.O.
Pediatrics
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diem Phuc Banh's NPI number?

The NPI number for Diem Phuc Banh is 1639465446. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Diem Phuc Banh located?

Diem Phuc Banh practices at 26520 Cactus Ave Gme Office Room A1005, Moreno Valley, CA 92555. The listed phone number is (951) 486-5908.

What is Diem Phuc Banh's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Diem Phuc Banh enrolled in Medicare?

Yes. Diem Phuc Banh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Diem Phuc Banh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diem Phuc Banh reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Riverside, CA) and Talbert Anesthesia Group Incorporated (Los Alamitos, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diem Phuc Banh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diem Phuc Banh was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.