EXCLUDEDPROVIDER
Individual Revocation

Tiwaf Habtemariam Micael

Antelope, CA 95843

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Tiwaf Habtemariam Micael of Antelope, CA is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of November 19, 2020.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Antelope, CA 95843
Exclusion date
November 19, 2020
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Tiwaf Habtemariam Micael appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Antelope, 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 November 19, 2020, 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 dateNovember 19, 2020
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
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 Antelope, CA 95843. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

Other excluded providers in Antelope, CA

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

Mary Elizabeth Buskirk Individual Revocation
Antelope, CA · License revocation, suspension, or surrender · Excluded Nov 2019
Olga Makovey Individual Program Crime
Antelope, CA · Conviction of program-related crimes · Excluded Jun 2016
Nancy M Sanchez Individual Program Crime
Antelope, CA · Conviction of program-related crimes · Excluded May 2011
Maria Jesusita Andreas Individual Program Crime
Antelope, CA · Conviction of program-related crimes · Excluded Oct 2010
Raveca L Zelea Individual Revocation
Antelope, CA · License revocation, suspension, or surrender · Excluded Nov 2008
Emily Bellaire Individual Revocation
Antelope, CA · License revocation, suspension, or surrender · Excluded Dec 2002
Twyla J Farley Individual Revocation
Antelope, CA · License revocation, suspension, or surrender · Excluded Jul 1998

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

Remove or correct this record →

Related

More Excluded Individuals in California More Records in Antelope More Revocation Records