EXCLUDEDPROVIDER
Individual Revocation

Rodolfo Calara Bustos

Lakewood, CA 90715

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Rodolfo Calara Bustos of Lakewood, CA is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of January 20, 2002.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Lakewood, CA 90715
Exclusion date
January 20, 2002
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Rodolfo Calara Bustos appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Lakewood, 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 January 20, 2002, 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 dateJanuary 20, 2002
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 Lakewood, CA 90715. The listed provider category is Hospital. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Lakewood, CA

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

Jesus Alvarez Individual Felony Fraud
Lakewood, CA · Felony conviction relating to health care fraud · Excluded Mar 2024
Irma Talavera Individual Program Crime
Lakewood, CA · Conviction of program-related crimes · Excluded Feb 2024
Angela Delores Cazares Individual Revocation
Lakewood, CA · License revocation, suspension, or surrender · Excluded Jan 2023
Mercedita De Leon Gosioco Individual Program Crime
Lakewood, CA · Conviction of program-related crimes · Excluded May 2019
Mark Santos Lansang Individual Patient Abuse
Lakewood, CA · Conviction relating to patient abuse or neglect · Excluded Mar 2018
Betsy Ann Shumsky Individual Revocation
Lakewood, CA · License revocation, suspension, or surrender · Excluded Feb 2016
Amelia Panganiban De Luna Individual Patient Abuse
Lakewood, CA · Conviction relating to patient abuse or neglect · Excluded Oct 2015
Alia Christian Gauthier Individual Revocation
Lakewood, CA · License revocation, suspension, or surrender · Excluded Mar 2014

See all 27 excluded providers in Lakewood →

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 Lakewood More Revocation Records