Screening result

NPI 1699792242

Screened 6/3/2026, 7:20:47 AM against OIG LEIE (snapshot 2026-05-08) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.

WATCH
Historical or low-severity record.
This NPI has a historical record — typically a reinstated exclusion or a less-severe state board action. Surface to compliance review.
Reasons (1)
  • WA medical board suspension (2023-08-18)

State board sanctions

State / BoardActionDateReinstated
WA medicalSuspension2023-08-18

Financial transparency (Open Payments)

CMS Open Payments (Sunshine Act) data for 2023. Shows payments from pharmaceutical and device companies to this provider.

Total received
$613
Total records
19
Payment categories
1
Nature of paymentAmountRecords
Food and Beverage$61319

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Source + audit trail

NPI screened
1699792242
Screen timestamp
6/3/2026, 7:20:47 AM
OIG LEIE snapshot
2026-05-08
State boards consulted
(none with active adapters)
Risk band
WATCH
Risk score
30
Matches found
1
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ProviderScore — Sanctions Screening Record
Record generated 6/3/2026, 7:20:47 AM
NPI 1699792242
WATCH Historical or low-severity record.
Screened 6/3/2026, 7:20:47 AM
Lists checked
Source listResultDetail
OIG LEIE (federal exclusions)Clearsnapshot 2026-05-08
State board sanctionsFLAGGED (1)40 states live: AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY
State Medicaid exclusionsClear
SAM.gov / GSA exclusionsClear
OFAC SDN (Treasury)Clear
FDA debarmentClear
Findings (1)
  • WA medical board suspension (2023-08-18)
Source + audit trail
NPI screened1699792242
Screen timestamp6/3/2026, 7:20:47 AM
OIG LEIE snapshot2026-05-08
State boards coveredAK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY
Risk bandWATCH
Risk score30
Total matches1
This record reflects the sources and snapshot dates listed above at the time of generation. Not legal advice. ProviderScore screens exclusion/sanction lists, not primary-source license verification.
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