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FonteumPublic-records evidence

TERMINAL · ENTITY CARD · ORGANIZATION

PARK ANAHEIM HEALTH CARE, LLC

Canonical entity in the resolved graph · CA · methodology entity-graph/v1 · f039ad54-bb66-4679-aa3b-bf8e264fe357

active

Cross-source identifiers

Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.

Current identifier attachments with link confidence
SchemeValueSource tableLink methodConfidenceSinceProvenance
npi1851460240nppes_providersdeterministic_pk1.0002026-06-10
evidence
recorded: 2026-06-10
methodology: entity-graph/v1
evidence: {"rule":"D-NPI","source_pk":"1851460240","entity_type_code":"2"}
pac_id1052411329pecos_providersexact_npi_in_pecos1.0002026-06-16
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
evidence: {"npi":"1851460240","rule":"D-PECOS","enrlmt_id":"O20070716000564","pecos_asct_cntl_id":"1052411329"}
pecos_enrlmt_idO20070716000564pecos_providersexact_npi_in_pecos1.0002026-06-16
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
evidence: {"npi":"1851460240","rule":"D-PECOS","enrlmt_id":"O20070716000564"}

Graph edges

One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.

Current 1-hop graph edges
RelationshipEntityConfidenceSource tableProvenance
← ownsAARON FRIEDMAN1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"35","association_date":"06/30/2023","percentage_ownership":20}
evidence: {"rule":"D-OWNER","owner_pac":"0244148476","source_pk":51629,"type_owner":"I","enrollment_id":"O20070716000564","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsOWNER PAC 0547755308 (IL)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"06/30/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"0547755308","source_pk":51632,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsLIBBY LEHMANN1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"35","association_date":"06/30/2023","percentage_ownership":20}
evidence: {"rule":"D-OWNER","owner_pac":"1153239389","source_pk":51633,"type_owner":"I","enrollment_id":"O20070716000564","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsRACHEL KLAVAN1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"35","association_date":"06/30/2023","percentage_ownership":20}
evidence: {"rule":"D-OWNER","owner_pac":"1254242100","source_pk":51635,"type_owner":"I","enrollment_id":"O20070716000564","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsOWNER PAC 1254826027 (IL)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"06/30/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"1254826027","source_pk":51637,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsFARIBORZ SHAMS (CA)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"06/09/2024","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"1557449527","source_pk":51638,"type_owner":"I","enrollment_id":"O20070716000564","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsLEHMANN FAMILY 1991 TRUST (CA)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"06/30/2023","percentage_ownership":20}
evidence: {"rule":"D-OWNER","owner_pac":"1658741988","source_pk":51640,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsMARISSA BANSAL1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"04/04/2018","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"2466947247","source_pk":51641,"type_owner":"I","enrollment_id":"O20070716000564","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsTHE KLAVAN FAMILY TRUST (CA)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"06/30/2023","percentage_ownership":20}
evidence: {"rule":"D-OWNER","owner_pac":"2567832892","source_pk":51643,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsOWNER PAC 2567940281 (CA)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"06/30/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"2567940281","source_pk":51644,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsJOSHUA KLAVAN1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"12/01/2022","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"2668818345","source_pk":51645,"type_owner":"I","enrollment_id":"O20070716000564","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsOWNER PAC 3476048232 (OR)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"06/30/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"3476048232","source_pk":51647,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsOWNER PAC 4789162496 (OR)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"06/30/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"4789162496","source_pk":51648,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsOWNER PAC 5799270567 (OR)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"06/30/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5799270567","source_pk":51649,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsLONGWOOD MANAGEMENT LLC (CA)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"01/01/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5799696647","source_pk":51650,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsOWNER PAC 5890280663 (OR)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"06/30/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"5890280663","source_pk":51651,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsOWNER PAC 60023018841.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"06/30/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"6002301884","source_pk":51652,"type_owner":"I","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsTHE TZIPPY FRIEDMAN NOTIS 1990 TRUST (CA)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"06/30/2023","percentage_ownership":20}
evidence: {"rule":"D-OWNER","owner_pac":"6103229455","source_pk":51653,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsOWNER PAC 6800374513 (OR)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"06/30/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"6800374513","source_pk":51654,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsIRA D FRIEDMAN 1991 TRUST (CA)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"06/30/2023","percentage_ownership":20}
evidence: {"rule":"D-OWNER","owner_pac":"7012387343","source_pk":51655,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsFRIEDMAN FAMILY TRUST (CA)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"34","association_date":"06/30/2023","percentage_ownership":20}
evidence: {"rule":"D-OWNER","owner_pac":"8921478256","source_pk":51656,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"34","role_text_owner":"5% OR GREATER DIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsCAROLINE BRUSO1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"43","association_date":"02/16/2022","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"9133522493","source_pk":51657,"type_owner":"I","enrollment_id":"O20070716000564","role_code_owner":"43","role_text_owner":"OPERATIONAL/MANAGERIAL CONTROL","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsOWNER PAC 9133614902 (OR)1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"06/30/2023","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"9133614902","source_pk":51659,"type_owner":"O","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsIRA DAVID FRIEDMAN1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"35","association_date":"06/30/2023","percentage_ownership":20}
evidence: {"rule":"D-OWNER","owner_pac":"9335057561","source_pk":51660,"type_owner":"I","enrollment_id":"O20070716000564","role_code_owner":"35","role_text_owner":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":20,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}
← ownsZAID PERVAIZ1.000snf_all_owners
evidence
recorded: 2026-06-16
methodology: entity-graph/v1
attributes: {"role_code":"72","association_date":"01/01/2013","percentage_ownership":null}
evidence: {"rule":"D-OWNER","owner_pac":"9436542826","source_pk":51666,"type_owner":"I","enrollment_id":"O20070716000564","role_code_owner":"72","role_text_owner":"ADP OF THE SNF","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"PARK ANAHEIM HEALTH CARE, LLC"}

Current record

Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.

org · 1851460240 JSON

Current claims for org 1851460240
MetricValueAssertedSource
dba_name<UNAVAIL>2026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6
claim API: JSON
enumeration_date2006-11-072026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6
claim API: JSON
legal_business_namePARK ANAHEIM HEALTH CARE, LLC2026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6
claim API: JSON
practice_stateCA2026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6
claim API: JSON
primary_taxonomy314000000X2026-06-10
Centers for Medicare & Medicaid Services
NPPES NPI Registry (individuals) 202602
publisher: Centers for Medicare & Medicaid Services
retrieved: 2026-06-10
sha256: 8b5267e250fd4df6
claim API: JSON

Provider screening signals

NPI-keyed source families read directly for 1851460240: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.

Sanctions & integrity

Coverage stale

Exclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.

  • Coverage status: indeterminate
  • Screened 26 integrity lists; no negative determination was made.
Source:OIG LEIE +25 moreChecked 2026-09-20
14-tuple provenance (26)
OIG LEIE
source: HHS Office of Inspector General (LEIE)
dataset_id: oig-leie
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start: 1977-10-25
coverage_end: ongoing
slsa_provenance_url:
SAM.gov Exclusions
source: U.S. General Services Administration (GSA), System for Award Management (SAM.gov)
dataset_id: sam-gov-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start: 2012-07-30
coverage_end: ongoing
slsa_provenance_url:
NY Medicaid (OMIG)
source: NY Office of the Medicaid Inspector General (OMIG)
dataset_id: ny-omig-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: NY-OMIG-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
OH Medicaid (ODM)
source: Ohio Department of Medicaid (ODM)
dataset_id: oh-odm-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: OH-ODM-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
GA Medicaid (DCH OIG)
source: Georgia DCH Office of Inspector General
dataset_id: ga-dch-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: GA-DCH-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
PA Medicaid (Medicheck)
source: Pennsylvania Department of Human Services (DHS)
dataset_id: pa-dhs-medicheck
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: PA-DHS-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
NC Medicaid (DHHS)
source: NC DHHS, Division of Health Benefits (NC Medicaid)
dataset_id: nc-dhhs-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: NC-DHHS-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MD Medicaid
source: Maryland Department of Health (MDH)
dataset_id: md-mdh-sanctioned
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MD-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
WA Medicaid
source: Washington State Health Care Authority (HCA)
dataset_id: wa-hca-termination-exclusion
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: WA-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
IA Medicaid
source: Iowa Health and Human Services (Iowa Medicaid)
dataset_id: ia-medicaid-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: IA-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MS Medicaid
source: Mississippi Division of Medicaid (DOM)
dataset_id: ms-dom-sanctioned
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MS-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MT Medicaid
source: Montana Department of Public Health and Human Services (DPHHS)
dataset_id: mt-dphhs-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MT-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
CO Medicaid
source: Colorado Department of Health Care Policy & Financing (HCPF)
dataset_id: co-hcpf-terminations
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: CO-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
IN Medicaid
source: Indiana FSSA, Office of Medicaid Policy and Planning (OMPP)
dataset_id: in-ompp-terminations
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: IN-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
KS Medicaid
source: Kansas Department of Health and Environment, Division of Health Care Finance (KDHE-DHCF)
dataset_id: ks-kmap-terminations
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: KS-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
KY Medicaid
source: Kentucky CHFS, Department for Medicaid Services (DMS)
dataset_id: ky-dms-terminations
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: KY-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
NH Medicaid
source: New Hampshire Department of Health and Human Services (DHHS)
dataset_id: nh-dhhs-sanctions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: NH-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
ND Medicaid
source: North Dakota Health and Human Services (HHS), Medicaid Program Integrity
dataset_id: nd-hhs-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: ND-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
TN Medicaid
source: Tennessee TennCare, Office of Program Integrity
dataset_id: tn-tenncare-terminated
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: TN-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MI Medicaid
source: Michigan Department of Health and Human Services (MDHHS), Medicaid Program Integrity
dataset_id: mi-mdhhs-sanctions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MI-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
LA Medicaid
source: Louisiana Department of Health (LDH), Program Integrity
dataset_id: la-ldh-adverse-actions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: LA-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
SC Medicaid
source: South Carolina Department of Health and Human Services (SCDHHS), Program Integrity
dataset_id: sc-scdhhs-sanctioned
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: SC-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MA Medicaid
source: Massachusetts MassHealth (EOHHS), Office of Program Integrity
dataset_id: ma-masshealth-exclusions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MA-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
MO Medicaid
source: Missouri Medicaid Audit and Compliance (MMAC), Department of Social Services
dataset_id: mo-mmac-sanctions
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: indeterminate, not_reconciled_to_attested_artifact, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: MO-public-records
coverage_start:
coverage_end:
slsa_provenance_url:
OIG CIA
source: HHS Office of Inspector General — Corporate Integrity Agreements
dataset_id: oig-cia
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start:
coverage_end:
slsa_provenance_url:
CMS Penalties
source: Centers for Medicare & Medicaid Services (CMS) — Civil Money Penalties
dataset_id: cms-cmp
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: not_flagged, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start:
coverage_end:
slsa_provenance_url:

Industry payments

None on file

0 CMS Open Payments records on file for this NPI.

Source:CMS Open PaymentsChecked 2026-09-20
14-tuple provenance (1)
CMS Open Payments
source: CMS Open Payments (Sunshine Act physician payment disclosures)
dataset_id: cms-open-payments
snapshot:
methodology: open-payments/v1
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start: 2013-08-01
coverage_end: ongoing
slsa_provenance_url:

Order & referring eligibility

None on file

No CMS Order and Referring record on file for this NPI.

Source:CMS Order and ReferringChecked 2026-09-20
14-tuple provenance (1)
CMS Order and Referring
source: Centers for Medicare & Medicaid Services (CMS)
dataset_id: cms-order-referring
snapshot:
methodology: cms-order-referring/v1
last_checked: 2026-09-20T12:14:51.023Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start:
coverage_end: ongoing
slsa_provenance_url:

Medicare opt-out

None on file

No CMS Medicare opt-out affidavit on file for this NPI.

Source:CMS Opt Out AffidavitsChecked 2026-09-20
14-tuple provenance (1)
CMS Opt Out Affidavits
source: Centers for Medicare & Medicaid Services (CMS)
dataset_id: cms-opt-out-affidavits
snapshot:
methodology: cms-opt-out/v1
last_checked: 2026-09-20T12:14:51.024Z
confidence: 1
data_availability: not_present, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start: 1998-01-01
coverage_end: ongoing
slsa_provenance_url:

Revalidation

On file

2 Medicare enrollment records on file.

  • Due date: TBD upstream — not due within the ensuing six months.
Source:CMS Medicare Revalidation Due Date ListChecked 2026-09-20
14-tuple provenance (1)
CMS Medicare Revalidation Due Date List
source: Centers for Medicare & Medicaid Services (CMS)
dataset_id: cms-revalidation-due-dates
snapshot:
methodology: v2026.05.0
last_checked: 2026-09-20T12:14:51.024Z
confidence: 1
data_availability: present, snapshot_date_unavailable
pipeline_version: b1fa680
doi:
license: US-Government-Works
coverage_start: 2011-03-25
coverage_end: ongoing
slsa_provenance_url:

Point-in-time

Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.

As of
Diff

Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…

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