June 19, 2018

CA DWC Suspends 20 Medical Providers for Fraud or Loss of License

San Francisco, CA – The Division of Workers’ Compensation (DWC) recently suspended 20 more medical providers from participating in California’s workers’ compensation system, bringing the total number of providers suspended to 197. The providers were suspended for fraud or other criminal actions, or for the loss of their license.

DWC Administrative Director George Parisotto issued suspension orders against the following providers:

  • David Ming Pon, Leesburg Florida ophthalmologist and owner of Advanced Retina-Eye Institute, was found guilty of 20 counts of healthcare fraud in federal court in 2015 for billing the Medicare program for more than $7 million by fraudulently diagnosing patients with retinal diseases and billing for treatments that were either not medically necessary or never rendered. Pon’s license to practice medicine in Florida was revoked in 2016, he was suspended from the Medi-Cal program and his license to practice medicine in California was revoked last year.
  • Sameh Abdelmalek, Indio pharmacist, was convicted in Riverside County Superior Court in 2016 for creating and using fraudulent prescriptions to obtain narcotics. His medical license was revoked last year.
  • Robert Windsor, Marietta, Georgia physician, was convicted and sentenced to 38 months in federal prison in 2016 for executing a scheme to defraud health care benefit programs, for which he fraudulently obtained approximately $1.1 million. Windsor surrendered his medical license in 2017 based on the grounds of his criminal conviction.

The following providers were suspended because their licenses were suspended, surrendered or revoked:

  • Derek Patrick Hughes, Auburn physician, surrendered his medical license in 2017 for violating the terms of a ten-year reinstatement probation.
  • Martin Bennett, Encino physician, surrendered his medical license in 2017 after he was placed on probation for gross negligence, including prescribing without appropriate examination.
  • Manuel Tanguma III, San Marcos physician, surrendered his medical license in 2017 based on grounds of sexual misconduct with a patient, gross negligence and general unprofessional conduct.
  • Julie Farrell, Glendale, Ohio physician, surrendered her medical license in 2017 based on grounds of discipline, restriction or limitation for unprofessional conduct imposed by Illinois.
  • James Galizia, Blanco, Texas physician, surrendered his medical license in 2017 based on grounds of discipline, restriction or limitation for unprofessional conduct imposed by both Texas and New York.
  • Kimberly Le, Carmichael physician, surrendered her medical license in 2017 based on grounds of gross negligence, prescribing without conducting an appropriate prior examination and creation of false medical records.
  • Joan MacKenzie, Redondo Beach physician, surrendered her medical license in 2017 based on grounds of gross negligence.
  • Sheldon Sevinor, Lynn, Massachusetts physician, surrendered his medical license in 2017 based on disciplinary actions taken by the Massachusetts Board of Registration in Medicine.
  • Michael Roland Pude Vivian, Ventura physician, surrendered his medical license in 2017 after he was placed on probation for using controlled substances and failing to comply with testing requirements.
  • Robert Sterner, San Diego physician, surrendered his medical license in 2017 based on grounds of gross negligence, failure to maintain adequate and accurate records, general unprofessional conduct and illness affecting competency.
  • Jayshree Vyas, Anaheim physician, surrendered her medical license in 2017 based on grounds that she committed repeated negligent acts in the care and treatment of a patient, and failed to maintain adequate records concerning her care and treatment of that patient.
  • John Warbritton III, Oakland physician, surrendered his medical license in 2017 based on grounds of sexual misconduct and unprofessional conduct.
  • S.N. Shubhakar, also known as Somwarpet Shubhakar, Porterville physician, surrendered his medical license in 2017 based on grounds of unprofessional conduct for failing to enroll in and complete an approved clinical training program.
  • Alan Azevedo, Chico physician, surrendered his medical license in 2017 due to his illness.
  • James Luders, Santa Rosa physician, surrendered his medical license in 2017 due to his illness.
  • Raymond Rowell, Dublin physician, surrendered his medical license in 2017 due to his illness.
  • Glenn Strome, San Francisco physician, surrendered his medical license in 2017 due to his illness.

Source: CA DWC

  • RSS
  • Twitter
  • LinkedIn