EXCLUDEDPROVIDER
Individual Revocation

Thomas W Clark

Santa Monica, CA 90402

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Thomas W Clark of Santa Monica, CA is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of November 21, 1991.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Santa Monica, CA 90402
Exclusion date
November 21, 1991
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Thomas W Clark appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Santa Monica, 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 November 21, 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 dateNovember 21, 1991
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
UPINA83970
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 Santa Monica, CA 90402. The listed provider category is Medical Practice, MD. The listed specialty is General Practice / FP.

Other excluded providers in Santa Monica, CA

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

Michael Steven Sinel Individual Program Crime
Santa Monica, CA · Conviction of program-related crimes · Excluded Aug 2021
Dimitrios Zafiris Individual Patient Abuse
Santa Monica, CA · Conviction relating to patient abuse or neglect · Excluded Aug 2020
Semen Fogel Individual Program Crime
Santa Monica, CA · Conviction of program-related crimes · Excluded Feb 2020
Sheila Shilati Individual Revocation
Santa Monica, CA · License revocation, suspension, or surrender · Excluded May 2017
Mahmood Aminur Rahman Individual Revocation
Santa Monica, CA · License revocation, suspension, or surrender · Excluded Feb 2015
Alex Giventer Individual Loan Default
Santa Monica, CA · Default on health education loan or scholarship obligations · Excluded Apr 2011
Thomas Beaulieu Individual Controlled Substance
Santa Monica, CA · Misdemeanor conviction relating to controlled substance · Excluded Jun 2008
Masood R Sayyah Individual Revocation
Santa Monica, CA · License revocation, suspension, or surrender · Excluded Feb 2008

See all 26 excluded providers in Santa Monica →

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 Santa Monica More license revocation, suspension, or surrender records