EXCLUDEDPROVIDER
Individual Revocation

Jeffrey Allen Tibbetts

Tehachapi, CA 93561

Public HHS-OIG LEIE exclusion record

Jeffrey Allen Tibbetts of Tehachapi, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1538436415 with a primary specialty of Registered Nurse. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Jeffrey Allen Tibbetts is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of December 19, 2024.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Tehachapi, CA 93561
Exclusion date
December 19, 2024
Exclusion type
Revocation (1128b4)
NPI
1538436415

Record summary

Jeffrey Allen Tibbetts appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Tehachapi, 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 19, 2024, 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 19, 2024
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1538436415
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 Tehachapi, CA 93561. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Nurse / Nurses Aide.

NPI Registry context

The LEIE record lists NPI 1538436415. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Registered Nurse (163W00000X). Registered practice location: Bakersfield, CA. NPI enumeration date: Nov 21, 2011. NPPES status: Active. The NPI Registry lists credential: RN.

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 Tehachapi, CA

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

Kurtis D Cavender Individual Revocation
Tehachapi, CA · License revocation, suspension, or surrender · Excluded Oct 2020
Claudiu Cristian Ponoran Individual Revocation
Tehachapi, CA · License revocation, suspension, or surrender · Excluded Jan 2020
John Francis Mcguire Individual Patient Abuse
Tehachapi, CA · Conviction relating to patient abuse or neglect · Excluded May 2018
Jeffrey Samayoa Individual Patient Abuse
Tehachapi, CA · Conviction relating to patient abuse or neglect · Excluded Jul 2013
Chi Van Pham Individual Patient Abuse
Tehachapi, CA · Conviction relating to patient abuse or neglect · Excluded Apr 2012
Anthony Tun Lee Individual Patient Abuse
Tehachapi, CA · Conviction relating to patient abuse or neglect · Excluded Nov 2010
Christopher R Viveros Individual Revocation
Tehachapi, CA · License revocation, suspension, or surrender · Excluded Jul 2005
Barton Leroy Carnes Individual Revocation
Tehachapi, CA · License revocation, suspension, or surrender · Excluded Feb 2004

See all 12 excluded providers in Tehachapi →

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.

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Related

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