EXCLUDEDPROVIDER
Individual Program Crime

Glenn Clarence Kissinger

Thousand Oaks, CA 91360

Public HHS-OIG LEIE exclusion record

Glenn Clarence Kissinger of Thousand Oaks, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1013123892 with a primary specialty of Internal Medicine, Geriatric Medicine. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Glenn Clarence Kissinger is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of March 20, 2022.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Thousand Oaks, CA 91360
Exclusion date
March 20, 2022
Exclusion type
Program Crime (1128a1)
NPI
1013123892

Record summary

Glenn Clarence Kissinger appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Thousand Oaks, 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 March 20, 2022, 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 dateMarch 20, 2022
Exclusion typeConviction of program-related crimes (1128a1)
NPI1013123892
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 Thousand Oaks, CA 91360. The listed provider category is Physician (MD, DO). The listed specialty is Internal Medicine.

NPI Registry context

The LEIE record lists NPI 1013123892. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Internal Medicine, Geriatric Medicine (207RG0300X). Registered practice location: Dinuba, CA. NPI enumeration date: May 16, 2007. 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.

Other excluded providers in Thousand Oaks, CA

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

Victor Delgado Contreras Individual Program Crime
Thousand Oaks, CA · Conviction of program-related crimes · Excluded Apr 2026
Corazon Halili Guevarra Individual Program Crime
Thousand Oaks, CA · Conviction of program-related crimes · Excluded Nov 2025
Katherine Michelle Peck Individual Revocation
Thousand Oaks, CA · License revocation, suspension, or surrender · Excluded Apr 2021
Jeremias S Diego Individual Patient Abuse
Thousand Oaks, CA · Conviction relating to patient abuse or neglect · Excluded Jul 2014
Christopher Ring Individual Felony Fraud
Thousand Oaks, CA · Felony conviction relating to health care fraud · Excluded Mar 2014
Sharon Gail Anderson Individual Revocation
Thousand Oaks, CA · License revocation, suspension, or surrender · Excluded Aug 2012
Scott Matthew Taylor Individual Loan Default
Thousand Oaks, CA · Default on health education loan or scholarship obligations · Excluded May 2012
Jodie Anne Delaney Individual Revocation
Thousand Oaks, CA · License revocation, suspension, or surrender · Excluded Dec 2008

See all 14 excluded providers in Thousand Oaks →

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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