EXCLUDEDPROVIDER
Individual Revocation

Sharon Tanya Blackman

Campbell, CA 95008

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Sharon Tanya Blackman of Campbell, CA is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of December 20, 1998.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Campbell, CA 95008
Exclusion date
December 20, 1998
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Sharon Tanya Blackman appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Campbell, 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 December 20, 1998, 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 dateDecember 20, 1998
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
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 Campbell, CA 95008. The listed provider category is Private Citizen / Entity. The listed specialty is Licensed Practitioner.

Other excluded providers in Campbell, CA

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

Keri Cole Forbord Individual Revocation
Campbell, CA · License revocation, suspension, or surrender · Excluded Sep 2015
Michael Kevin Seid Individual Revocation
Campbell, CA · License revocation, suspension, or surrender · Excluded Jan 2012
Patricia Mendoza Individual Revocation
Campbell, CA · License revocation, suspension, or surrender · Excluded Apr 2006
Genesis Merlin Chavez Individual Felony Fraud
Campbell, CA · Felony conviction relating to health care fraud · Excluded Aug 2004
Peder Hudson Hamilton Individual Revocation
Campbell, CA · License revocation, suspension, or surrender · Excluded Jan 2002
Portillo Chiropractic Entity Controlled Entity
Campbell, CA · Entities controlled by a sanctioned individual · Excluded Jun 2000
Kenneth E Payne Individual Revocation
Campbell, CA · License revocation, suspension, or surrender · Excluded Aug 1995

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.

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Related

More Excluded Individuals in California More Records in Campbell More Revocation Records