EXCLUDEDPROVIDER
Individual Revocation

John Parsons Hibbard

Santa Rosa, CA 95404

Public HHS-OIG LEIE exclusion record

John Parsons Hibbard of Santa Rosa, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1649361668 with a primary specialty of Internal Medicine, Addiction Medicine. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), John Parsons Hibbard is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of July 19, 2012.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Santa Rosa, CA 95404
Exclusion date
July 19, 2012
Exclusion type
Revocation (1128b4)
NPI
1649361668

Record summary

John Parsons Hibbard appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Santa Rosa, 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 19, 2012, 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 19, 2012
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1649361668
UPINA46970
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 Rosa, CA 95404. The listed provider category is Physician (MD, DO). The listed specialty is Internal Medicine.

NPI Registry context

The LEIE record lists NPI 1649361668. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Internal Medicine, Addiction Medicine (207RA0401X). Registered practice location: Santa Rosa, CA. NPI enumeration date: Sep 27, 2006. NPPES status: Active. The NPI Registry lists credential: M.D..

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.

Other excluded providers in Santa Rosa, CA

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

Darius Bunyad Individual Patient Abuse
Santa Rosa, CA · Conviction relating to patient abuse or neglect · Excluded Mar 2024
Lori Sue Schroeder Individual Revocation
Santa Rosa, CA · License revocation, suspension, or surrender · Excluded Jan 2021
Richard M Gartmann Individual Revocation
Santa Rosa, CA · License revocation, suspension, or surrender · Excluded Jan 2021
Austin Kelly Lenox Individual Revocation
Santa Rosa, CA · License revocation, suspension, or surrender · Excluded Dec 2020
James Russell Anderson Individual Revocation
Santa Rosa, CA · License revocation, suspension, or surrender · Excluded Feb 2020
Juan Marin Individual Revocation
Santa Rosa, CA · License revocation, suspension, or surrender · Excluded Jun 2017
Marcos A Resendiz Individual Program Crime
Santa Rosa, CA · Conviction of program-related crimes · Excluded May 2016
Hector Damian Garcia Individual Program Crime
Santa Rosa, CA · Conviction of program-related crimes · Excluded May 2016

See all 71 excluded providers in Santa Rosa →

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

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