EXCLUDEDPROVIDER
Individual Revocation

Theodore Edmund Staahl

La Quinta, CA 92253

Public HHS-OIG LEIE exclusion record

Theodore Edmund Staahl of La Quinta, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1295896041 with a primary specialty of Specialist. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Theodore Edmund Staahl is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of January 20, 2026.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
La Quinta, CA 92253
Exclusion date
January 20, 2026
Exclusion type
Revocation (1128b4)
NPI
1295896041

Record summary

Theodore Edmund Staahl appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with La Quinta, 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 January 20, 2026, 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 dateJanuary 20, 2026
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1295896041
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 La Quinta, CA 92253. The listed provider category is Physician (MD, DO). The listed specialty is Plastic Surgery.

NPI Registry context

The LEIE record lists NPI 1295896041. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Specialist (174400000X). Registered practice location: Modesto, CA. NPI enumeration date: Dec 13, 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 La Quinta, CA

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

Christine Yvonne Caballero Individual Patient Abuse
La Quinta, CA · Conviction relating to patient abuse or neglect · Excluded Jul 2020
Darrin Messina Individual Revocation
La Quinta, CA · License revocation, suspension, or surrender · Excluded Jul 2017
Michael Owen Hensel Individual Revocation
La Quinta, CA · License revocation, suspension, or surrender · Excluded May 2014
Jennifer Dalisay Delapaz Individual Felony Fraud
La Quinta, CA · Felony conviction relating to health care fraud · Excluded Nov 2013
Scott Willis Johnson Individual Revocation
La Quinta, CA · License revocation, suspension, or surrender · Excluded Apr 2013
Stephanie Ann Lister Individual Revocation
La Quinta, CA · License revocation, suspension, or surrender · Excluded Jul 2011
Robert C Hatch Individual Felony Fraud
La Quinta, CA · Felony conviction relating to health care fraud · Excluded Dec 2009
Michael J Wade Individual Loan Default
La Quinta, CA · Default on health education loan or scholarship obligations · Excluded Jan 2009

See all 13 excluded providers in La Quinta →

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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Related

More Excluded Individuals in California More Records in La Quinta More Revocation Records