EXCLUDEDPROVIDER
Individual Revocation

Jerry Owen Waters

El Segundo, CA 90245

Public HHS-OIG LEIE exclusion record

Jerry Owen Waters of El Segundo, CA is listed under National Provider Identifier (NPI) 1437367307. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Jerry Owen Waters is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of September 20, 2021.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
El Segundo, CA 90245
Exclusion date
September 20, 2021
Exclusion type
Revocation (1128b4)
NPI
1437367307

Record summary

Jerry Owen Waters appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with El Segundo, 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 September 20, 2021, 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 dateSeptember 20, 2021
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1437367307
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 El Segundo, CA 90245. The listed provider category is Physician (MD, DO). The listed specialty is Emergency Medicine.

Other excluded providers in El Segundo, CA

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

Sharon Ann Knowles Individual Revocation
El Segundo, CA · License revocation, suspension, or surrender · Excluded Sep 1999
Donnie W Watson Individual Program Crime
El Segundo, CA · Conviction of program-related crimes · Excluded Jul 1999
Bernard Paul Kastigar Individual Drug Misdemeanor
El Segundo, CA · Misdemeanor conviction relating to controlled substance · Excluded Dec 1994
Village Drug Pharmacy Entity Controlled Entity
El Segundo, CA · Entities controlled by a sanctioned individual · Excluded Dec 1994

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

Remove or correct this record →

Related

More Excluded Individuals in California More Records in El Segundo More Revocation Records