EXCLUDEDPROVIDER
Individual Revocation

Robert Ray Moss

Nipomo, CA 93444

Public HHS-OIG LEIE exclusion record

Robert Ray Moss of Nipomo, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1962534909 with a primary specialty of Surgery. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Robert Ray Moss is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of October 20, 2016.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Nipomo, CA 93444
Exclusion date
October 20, 2016
Exclusion type
Revocation (1128b4)
NPI
1962534909

Record summary

Robert Ray Moss appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Nipomo, 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 October 20, 2016, 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 dateOctober 20, 2016
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1962534909
UPINA28961
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 Nipomo, CA 93444. The listed provider category is Physician (MD, DO). The listed specialty is General Practice.

NPI Registry context

The LEIE record lists NPI 1962534909. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Surgery (208600000X). Registered practice location: Santa Maria, CA. NPI enumeration date: Mar 12, 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 Nipomo, CA

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

Milaini Virginia Jenkins Individual Revocation
Nipomo, CA · License revocation, suspension, or surrender · Excluded Jun 2025
Ihor Borys Kalicinsky Individual Revocation
Nipomo, CA · License revocation, suspension, or surrender · Excluded Dec 2015
Kimberly Marino Individual Program Crime
Nipomo, CA · Conviction of program-related crimes · Excluded Dec 2014
Shirley Anne Cutcliffe Individual Revocation
Nipomo, CA · License revocation, suspension, or surrender · Excluded Dec 2003

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 Nipomo More Revocation Records