EXCLUDEDPROVIDER
Individual Revocation

Camilo Q Primero

San Dimas, CA 91773

Public HHS-OIG LEIE exclusion record

Camilo Q Primero of San Dimas, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1295804029 with a primary specialty of Anesthesiology. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Camilo Q Primero is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of June 20, 2012.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
San Dimas, CA 91773
Exclusion date
June 20, 2012
Exclusion type
Revocation (1128b4)
NPI
1295804029

Record summary

Camilo Q Primero appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with San Dimas, 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 June 20, 2012, 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 dateJune 20, 2012
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1295804029
UPINA84176
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 San Dimas, CA 91773. The listed provider category is Physician (MD, DO). The listed specialty is General Practice.

NPI Registry context

The LEIE record lists NPI 1295804029. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Anesthesiology (207L00000X). Registered practice location: Glendora, CA. NPI enumeration date: Nov 7, 2006. NPPES status: Active. The NPI Registry lists credential: M.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 San Dimas, CA

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

Francesca Lisa Pecoraro Individual Program Crime
San Dimas, CA · Conviction of program-related crimes · Excluded Nov 2020
Rodolfo Ecaro Magsino Individual Program Crime
San Dimas, CA · Conviction of program-related crimes · Excluded Nov 2020
Gloria Hernandez Individual Program Crime
San Dimas, CA · Conviction of program-related crimes · Excluded Feb 2014
Barbara Lee Lenoue Individual Revocation
San Dimas, CA · License revocation, suspension, or surrender · Excluded Apr 2006
Tri-regional Home Health Care Entity Kickbacks
San Dimas, CA · Fraud, kickbacks, and other prohibited activities · Excluded Jun 2005
Armida Chavira Individual Program Crime
San Dimas, CA · Conviction of program-related crimes · Excluded Jan 2005
Ramon Portales Individual Revocation
San Dimas, CA · License revocation, suspension, or surrender · Excluded Apr 2003
Donald Eugene Pearson Individual Revocation
San Dimas, CA · License revocation, suspension, or surrender · Excluded Jul 2002

See all 13 excluded providers in San Dimas →

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

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