EXCLUDEDPROVIDER
Individual Revocation

Edward Charles Olsgard

Eureka, CA 95503

Public HHS-OIG LEIE exclusion record

Edward Charles Olsgard of Eureka, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1689617482 with a primary specialty of Specialist. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Edward Charles Olsgard is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of December 20, 2016.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Eureka, CA 95503
Exclusion date
December 20, 2016
Exclusion type
Revocation (1128b4)
NPI
1689617482

Record summary

Edward Charles Olsgard appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Eureka, 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 December 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 dateDecember 20, 2016
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1689617482
UPINA42553
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 Eureka, CA 95503. The listed provider category is Physician (MD, DO). The listed specialty is Family Practice.

NPI Registry context

The LEIE record lists NPI 1689617482. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Specialist (174400000X). Registered practice location: Eureka, CA. NPI enumeration date: Jun 13, 2006. 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 Eureka, CA

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

Georgeanna Summer Johnson Lovern Individual Program Crime
Eureka, CA · Conviction of program-related crimes · Excluded Mar 2026
Gina Catherine Chamberlain Individual Drug Felony
Eureka, CA · Felony conviction relating to controlled substance · Excluded Jul 2017
Mia Hyongcha Bressler Individual Patient Abuse
Eureka, CA · Conviction relating to patient abuse or neglect · Excluded Mar 2017
Kathryn Rose Sobilo Individual Program Crime
Eureka, CA · Conviction of program-related crimes · Excluded Jan 2017
Stacey Michelle Kejmar Individual Revocation
Eureka, CA · License revocation, suspension, or surrender · Excluded May 2015
Tracy Jean Keith Individual Revocation
Eureka, CA · License revocation, suspension, or surrender · Excluded May 2015
Hugh Roger Jr Martain Individual Revocation
Eureka, CA · License revocation, suspension, or surrender · Excluded Jan 2015
Phyllis Ann Herrin Individual Revocation
Eureka, CA · License revocation, suspension, or surrender · Excluded May 2014

See all 20 excluded providers in Eureka →

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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