EXCLUDEDPROVIDER
Individual Revocation

Patrick Stephen Clyne

San Juan Bautista, CA 95045

Public HHS-OIG LEIE exclusion record

Patrick Stephen Clyne of San Juan Bautista, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1790752954 with a primary specialty of Pediatrics. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Patrick Stephen Clyne is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of July 20, 2026.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
San Juan Bautista, CA 95045
Exclusion date
July 20, 2026
Exclusion type
Revocation (1128b4)
NPI
1790752954

Record summary

Patrick Stephen Clyne appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with San Juan Bautista, 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 July 20, 2026, 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 dateJuly 20, 2026
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1790752954
Source dataset dateAugust 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 Juan Bautista, CA 95045. The listed provider category is Physician (MD, DO). The listed specialty is Pediatrics.

NPI Registry context

The LEIE record lists NPI 1790752954. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Pediatrics (208000000X). Registered practice location: Freedom, CA. NPI enumeration date: Mar 7, 2006. NPPES status: Active. The NPI Registry lists credential: MD.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

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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