Spivak petition alleges failures in probation completion, testing and reporting
Oct 18, 2026 edition · GC-2026-0428 · Published 2026-10-18 · Version 1 · Announced
A petition signed October 13 asks the Medical Board to revoke Ryan Matthew Spivak's probation, alleging failures involving required programs, testing and quarterly declarations. The filing seeks further discipline under existing probation terms; it does not establish a new revocation or a positive drug test.
What happened
A Medical Board of California petition signed October 13, 2026 seeks revocation of Ryan Matthew Spivak's probation in case 800-2023-103933. Its six causes concern an ethics program, a clinical competence assessment program, biological-fluid testing, quarterly declarations, a probation-violation condition and the requirement to obey laws. The petition requests a hearing followed by revocation of probation and imposition of the stayed disciplinary order, or revocation or suspension of the certificate, together with action on supervisory authority. It is a request for discipline, not a new decision adjudicating the alleged violations or imposing the requested revocation.
The allegations distinguish participation from timely completion and proof. The petition says Spivak attended an ethics-course follow-up in May 2026 but submitted the participation letter late, and that required charts had not been timely submitted to the clinical competence program as of September 1, 2026. It also alleges missed daily testing check-ins, failure to provide two selected samples and late quarterly declarations. A missed sample is not itself a positive test result. The petition relies on earlier discipline with stayed revocations and probation; its current allegations do not turn the attached historical decisions into new October 2026 adjudications. The completion, testing and reporting conditions are specific to the respondent's probation, rather than new deadlines for physicians generally.
Scope and timing
- Authority status
- Announced
- Applicability
- Operationally relevant
- Audience
- Health systems, Provider networks
- Jurisdiction
- California
- Responsible owner
- Legal
Why it matters
Probation monitoring can require separate evidence of enrollment, completion, timely reporting and testing participation. This petition illustrates why attendance alone does not establish compliance with every applicable condition.
Recommended action
Assess tracking of applicable probation-program completion, supporting documents, testing participation and quarterly submissions. Check the actual order and any authorized extensions; distinguish missed testing from a positive result and a new petition from an issued disciplinary decision.
Case details
- agencies
- Medical Board of California
- entities
- Ryan Matthew Spivak, M.D.
- action Type
- Administrative accusation
- event Date
- 2026-10-13
- alleged Conduct
- Alleged failures involving ethics-program completion and proof, clinical-competence-program requirements, testing participation and quarterly declarations, with related probation-violation and obey-laws causes.
- resolution
- Petition requesting revocation or suspension; it does not establish that the alleged violations have been adjudicated or the requested relief imposed.
Operational lessons
- Track program participation, completion and proof as separate requirements of an applicable order.
- Distinguish a missed sample from a positive test and a petition from an issued decision.
Sources
- MBC Petition to Revoke Probation against Ryan Matthew Spivak, case 800-2023-103933Official · Medical Board of California
Complete edition and supplemental material
This finding in the complete approved report →Regulatory horizons, CIA trends and implementation trackers remain in the full report.
Read the entire Enforcement Briefing report →