EXCLUDEDPROVIDER
Individual Revocation

Jerry T Lin

Walnut, CA 91789

Public HHS-OIG LEIE exclusion record

Jerry T Lin of Walnut, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1710022686 with a primary specialty of Optometrist. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Jerry T Lin is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of May 20, 2014.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Walnut, CA 91789
Exclusion date
May 20, 2014
Exclusion type
Revocation (1128b4)
NPI
1710022686

Record summary

Jerry T Lin appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Walnut, 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, 2014, 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 dateMay 20, 2014
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1710022686
UPINU78869
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 Walnut, CA 91789. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Optometry.

NPI Registry context

The LEIE record lists NPI 1710022686. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Optometrist (152W00000X). Registered practice location: Placentia, CA. NPI enumeration date: Feb 20, 2007. NPPES status: Active. The NPI Registry lists credential: O.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 Walnut, CA

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

Carlos Angel Soto Individual Revocation
Walnut, CA · License revocation, suspension, or surrender · Excluded Sep 2014
Hsiu-ying Lisa Tseng Individual Revocation
Walnut, CA · License revocation, suspension, or surrender · Excluded Jul 2012
Theron Cordel Jr Fox Individual Revocation
Walnut, CA · License revocation, suspension, or surrender · Excluded Sep 2007
Grand Acupressure, Clinic Entity Controlled Entity
Walnut, CA · Entities controlled by a sanctioned individual · Excluded Jul 2002
Michelle Liu Yan Individual Revocation
Walnut, CA · License revocation, suspension, or surrender · Excluded Sep 2001
Vaila Sison Vicencio Individual Revocation
Walnut, CA · License revocation, suspension, or surrender · Excluded Apr 2000
Aaron Sayers Individual Kickbacks
Walnut, CA · Fraud, kickbacks, and other prohibited activities · Excluded Mar 1999
New Age Pulmonary Diagnostics Entity Kickbacks
Walnut, CA · Fraud, kickbacks, and other prohibited activities · Excluded Mar 1999

See all 16 excluded providers in Walnut →

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 this record with the official HHS-OIG source Save or print this record Monitor this provider/entity Need to screen a list? Join the bulk screening beta

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