EXCLUDEDPROVIDER
Individual Revocation

Donald K Jr Blake

Rancho Cucamonga, CA 91737

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Donald K Jr Blake of Rancho Cucamonga, CA is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of December 20, 1999.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Rancho Cucamonga, CA 91737
Exclusion date
December 20, 1999
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Donald K Jr Blake appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Rancho Cucamonga, 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, 1999, 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, 1999
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
UPINA22548
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 Rancho Cucamonga, CA 91737. The listed provider category is Medical Practice, MD. The listed specialty is Surgery.

Other excluded providers in Rancho Cucamonga, CA

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

Quincy Vanemyarista Aniceto Individual Revocation
Rancho Cucamonga, CA · License revocation, suspension, or surrender · Excluded May 2025
Edward Albert Balbas Individual Felony Fraud
Rancho Cucamonga, CA · Felony conviction relating to health care fraud · Excluded Apr 2024
Ramon Gabriel Alvarez Individual Program Crime
Rancho Cucamonga, CA · Conviction of program-related crimes · Excluded Dec 2023
Gabriel Martinez-lin Individual Revocation
Rancho Cucamonga, CA · License revocation, suspension, or surrender · Excluded Apr 2021
Astha Maija Tripathi Individual Revocation
Rancho Cucamonga, CA · License revocation, suspension, or surrender · Excluded Nov 2020
Christina Ann Holder Individual Revocation
Rancho Cucamonga, CA · License revocation, suspension, or surrender · Excluded Nov 2020
Thelma Cruz Lat Individual Program Crime
Rancho Cucamonga, CA · Conviction of program-related crimes · Excluded Aug 2020
Timothy Okechukwu Ejindu Individual Program Crime
Rancho Cucamonga, CA · Conviction of program-related crimes · Excluded Nov 2017

See all 25 excluded providers in Rancho Cucamonga →

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 Rancho Cucamonga More license revocation, suspension, or surrender records