EXCLUDEDPROVIDER
Individual Revocation

Adriana Angelica Cervantes

San Ysidro, CA 92173

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Adriana Angelica Cervantes of San Ysidro, CA is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of December 18, 2008.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
San Ysidro, CA 92173
Exclusion date
December 18, 2008
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Adriana Angelica Cervantes appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with San Ysidro, 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 18, 2008, 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 18, 2008
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 San Ysidro, CA 92173. The listed provider category is Dental Practice. The listed specialty is Administrator.

Other excluded providers in San Ysidro, CA

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

Junne Esguerra Coloma Individual Drug Felony
San Ysidro, CA · Felony conviction relating to controlled substance · Excluded Apr 2016
Maria Carmen Cortez Individual Felony Fraud
San Ysidro, CA · Felony conviction relating to health care fraud · Excluded Dec 2014
Stephane Russo Individual Drug Felony
San Ysidro, CA · Felony conviction relating to controlled substance · Excluded Aug 2013
Adriana Elizabeth Crean Individual Program Suspension
San Ysidro, CA · Exclusion or suspension under a federal or state health care program · Excluded Apr 2012
Javier Ramirez-merlos Individual Felony Fraud
San Ysidro, CA · Felony conviction relating to health care fraud · Excluded Sep 2000

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 San Ysidro More Revocation Records