EXCLUDEDPROVIDER
Individual Revocation

Frederick Dennis Acquaviva

Grass Valley, CA 95949

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Frederick Dennis Acquaviva of Grass Valley, CA is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of May 30, 1991.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Grass Valley, CA 95949
Exclusion date
May 30, 1991
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Frederick Dennis Acquaviva appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Grass Valley, California. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is May 30, 1991, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateMay 30, 1991
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
UPINT08151
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Grass Valley, CA 95949. The listed provider category is Dental Practice. The listed specialty is Dentist.

Other excluded providers in Grass Valley, CA

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Grass Valley, CA address.

Sally Jo Bakelmun Individual Revocation
Grass Valley, CA · License revocation, suspension, or surrender · Excluded Oct 2020
Jennifer Lorraine Bautista Individual Revocation
Grass Valley, CA · License revocation, suspension, or surrender · Excluded Sep 2020
Gina Gabriella Smith Individual Drug Misdemeanor
Grass Valley, CA · Misdemeanor conviction relating to controlled substance · Excluded Nov 2017
Cynthia Mae Contreras Individual Revocation
Grass Valley, CA · License revocation, suspension, or surrender · Excluded Mar 2015
Michael Thomas Benson Individual Revocation
Grass Valley, CA · License revocation, suspension, or surrender · Excluded Jul 2012
Hugo Bautista Individual Program Crime
Grass Valley, CA · Conviction of program-related crimes · Excluded Dec 2011
Olivia A Goodrow Individual Revocation
Grass Valley, CA · License revocation, suspension, or surrender · Excluded Apr 2010
John Peter Hajducko Individual Revocation
Grass Valley, CA · License revocation, suspension, or surrender · Excluded Mar 2008

See all 14 excluded providers in Grass Valley →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More Excluded Individuals in California More Records in Grass Valley More Revocation Records