EXCLUDEDPROVIDER
Individual Program Crime

Charlotte Renee Jackson

Perris, CA 92571

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Charlotte Renee Jackson of Perris, CA is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of May 20, 2013.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Perris, CA 92571
Exclusion date
May 20, 2013
Exclusion type
Program Crime (1128a1)
Source dataset
May 2026

Record summary

Charlotte Renee Jackson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Perris, 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 May 20, 2013, and the exclusion type is 1128a1, identified by HHS-OIG as conviction of program-related crimes.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateMay 20, 2013
Exclusion typeConviction of program-related crimes (1128a1)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a1 as “Conviction of program-related crimes.” Conviction of a criminal offense related to the delivery of an item or service under Medicare or a State health care program (mandatory exclusion, minimum 5 years).

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 Perris, CA 92571. The listed provider category is Individual (Unaffiliated). The listed specialty is No Known Affiliation.

Other excluded providers in Perris, CA

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

Alberto Jr Pena Individual Revocation
Perris, CA · License revocation, suspension, or surrender · Excluded May 2025
Patricia Roberson Mccullough Individual Patient Abuse
Perris, CA · Conviction relating to patient abuse or neglect · Excluded Jul 2020
Michael Carney Individual Revocation
Perris, CA · License revocation, suspension, or surrender · Excluded Sep 2017
Olushola Johan Ajayi Individual Patient Abuse
Perris, CA · Conviction relating to patient abuse or neglect · Excluded Dec 2010
Alexander Tanciano Tagaro Individual Program Crime
Perris, CA · Conviction of program-related crimes · Excluded Jul 2010
Angelic M Cyiark Individual Patient Abuse
Perris, CA · Conviction relating to patient abuse or neglect · Excluded Jun 2009
Victor Valentin Individual Revocation
Perris, CA · License revocation, suspension, or surrender · Excluded Jun 2006
Pornn Em Individual Program Crime
Perris, CA · Conviction of program-related crimes · Excluded Jul 2002

See all 11 excluded providers in Perris →

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 Perris More conviction of program-related crimes records