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Jerry Owen Waters

Debarred entity

Jerry Owen Waters is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	Jerry Owen Waters				[sources]
Birth date	1954-09-06				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	Jerry				[sources]
Last name	Waters				[sources]
Middle name	Owen				[sources]
NPI	`1437367307`				[sources]
Registration number	`00G512210` · `G 51221`				[sources]
Sector	Physician				[sources]
Position	EMERGENCY MEDICINE (PHYSICIAN (MD, DO))				[sources]
Address	717 W PINE AVE, EL SEGUNDO, CA 90245 · 717 West Pine Avenue, El Segundo, CA, 90245 · EL SEGUNDO, CA 90245, USA				[sources]
Last change	2025-09-12	Last processed	2025-12-01	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	OPM		2021-10-27	-

Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.

United States · DHCS

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-medca-c12d5851c2fd2c6408849661472760d846bb7d1b · us-fed-excl-jerry-owen-waters-90245-el-segundo

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