| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 140860 | Adebiyi, Oluwatosin | 1437890282 | 5201450 | PSYCH PEDS PRITZKER | 0 |
| 023872591 | Albarran Montoya, Osbaldo | 3202002 | SOD GEN DENT PRE-D PARN | 1 | |
| 138850 | Allair, Hilary | 1194337451 | 5601003 | MH OB UROGYN GB | 0 |
| 67013 | Anand, Payal | 1437294360 | 5307001 | AUDIOLOGY MB | 0 |
| 105330 | Bangalore Vatsan Sri, Lakshmi | 1437321866 | 6901001 | CC UBCP WHCSV-LAKSHMI SATHYA MV | 1 |
| 83721 | Cakmak, Hakan | 1861676827 | 5202007 | REPRO PROCEDURE CTR MB | 0 |
| 145553 | Chan, Elena Luo | 1346738267 | 6901001 | CC UBCP WHCSV-LAKSHMI SATHYA MV | 1 |
| 145553 | Chan, Elena Luo | 1346738267 | 6901002 | CC UBCP WHCSV-LAKSHMI SATHYA SJ | 0 |
| 115395 | Chan, Natalie Hoi-Man | 1619418936 | 5201517 | PED NEONAT PRITZKER | 0 |
| 022198857 | Chapel, Kathleen | 5801036 | MHMC INTEGRATIVE WELLNESS CENTER | 1 | |
| 63799 | Crowe, Susan Diana | 1003959966 | 2050021 | OBGYN MZ 7 | 0 |
| 028033827 | Cuylear, Darnell | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 020146585 | Dhinsa, Harneet | 7101002 | BTBH SCHEDULING | 1 | |
| 123801 | Digiorgio, Anthony M | 1629137781 | 9010283 | NEUROSURGERY SAN MATEO | 0 |
| 152599 | Doshi, Nirmita | 1508486903 | 5201460 | ENDO BONE PARN | 0 |
| 022163489 | Escarzega, Elizabeth | 20206003 | BCH OAK OPC OT | 1 | |
| 029493715 | Feng, Olivia | 1477320042 | 3204002 | SOD PED DENT MB | 0 |
| 103704 | Frank, Emily Wolens | 1306231618 | 20211001 | BCH OAK FQ MCC HIGH SCHOOL | 0 |
| 157809 | Grusky, Alan Zhang | 1386394872 | 9010257 | PRIMARY CARE CB WATER | 0 |
| 51080 | Harris, Ian Stewart | 1558577106 | 5201108 | CARD PACT MB | 0 |
| 029554797 | Harris, Juliette | 9105001 | CC UBCP SILICON VALLEY MFM | 1 | |
| 59936 | Herz, Susanne Pelley Martin | 1710019369 | 5201154 | PED PRIM NEONAT MARIN | 1 |
| 027170240 | Hullett, Patrick | 1992191613 | 1100053 | EPILEPSY PARN | 1 |
| 025479643 | Jones, Norma | 50102002 | CANCER CENTER POPC | 1 | |
| 161058 | Kaur, Harsheen | 1578927323 | 20206009 | BCH OAK OPC EPILEPSY | 1 |
| 161058 | Kaur, Harsheen | 1578927323 | 20243007 | BCH OAK SR NEUROLOGY | 0 |
| 151540 | Kendle, Andrew Parker | 1043873920 | 5201532 | URGENT CARE BAYFRONT | 1 |
| 98250 | Kharbanda, Sandhya | 1750498226 | 20206035 | BCH OAK OPC BONE MARROW TRANS | 0 |
| 106313 | Kim, Christine May | 1245447937 | 5310001 | RAD ONC MB 1 | 0 |
| 024332892 | Lao-Ngo, Isabelle | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 024480634 | Latthivongskorn, Jirayut | 1508422403 | 5201532 | URGENT CARE BAYFRONT | 1 |
| 43782 | Leavitt, Andrew D. | 1952343113 | 5201490 | NON MALIGNANT HEM OB MB | 0 |
| 023897333 | Light, Isabel | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 47795 | Long, Roger Kenji | 1285641449 | 5201036 | PED ENDO MB | 0 |
| 153463 | Makol, Richika | 1770144909 | 6600004 | CC UBCP ALLERGY AND ASTHMA ASSOCIATES GILROY | 0 |
| 027014349 | Mao, Lingzi | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 10008363 | Mh Us/procedure Room, | 5601115 | MH OB UROGYN SAUS | 1 | |
| 10002442 | Mz Aud Walk-In, | 2040001 | AUDIOLOGY MZ | 1 | |
| 10008427 | New Patient Navigator Breast Plastics Program, | 5201258 | PLAS ONC RECON MB 3 | 1 | |
| 116439 | Nguyen, Diana Kim | 1134411077 | 3208001 | SOD GEN DENT PRE-D CITYWIDE | 1 |
| 022501571 | Onsy, Marlen | 3202016 | SOD INT PATHWAY PARN | 1 | |
| 136045 | Padgett, Tyler Bradford | 1326428137 | 9010257 | PRIMARY CARE CB WATER | 0 |
| 020034773 | Pallewar, Abhijit | 3202016 | SOD INT PATHWAY PARN | 1 | |
| 10008429 | Peds1f, | 6100005 | CC UCBEYE PEDS MH | 1 | |
| 020093175 | Rinaldi, Marie | 1952705113 | 9010184 | CANCER CENTER SAN MATEO | 0 |
| 11378 | Rowbotham, Michael Charles | 1821027293 | 5201527 | PAIN MED BAYFRONT | 1 |
| 022224687 | Sadeghi, Elnaz | 3202016 | SOD INT PATHWAY PARN | 1 | |
| 021950191 | Sands, Natalie | 1255125225 | 2050007 | OBGYN MZ 6 | 1 |
| 025186230 | Sargsyan, Mari | 3202016 | SOD INT PATHWAY PARN | 1 | |
| 97491 | Saylor, Drew K | 1306289723 | 2030013 | DERM SURGERY MZ MB2 3 | 0 |
| 128701 | Segev, Tamar G | 1972902971 | 5601003 | MH OB UROGYN GB | 0 |
| 026173559 | Sewald, Cassie | 6901001 | CC UBCP WHCSV-LAKSHMI SATHYA MV | 1 | |
| 021858097 | Shukla, Rita | 3202016 | SOD INT PATHWAY PARN | 1 | |
| 026296921 | Singh, Rajanpreet | 3202016 | SOD INT PATHWAY PARN | 1 | |
| 020346045 | Syed, Shanzey | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 10007782 | Tc1-Ucbeye Pc Mh, | 6100011 | CC UCBEYE PRIMARY CARE MH | 1 | |
| 10007783 | Tc2-Ucbeye Pc Mh, | 6100011 | CC UCBEYE PRIMARY CARE MH | 1 | |
| 022871305 | Thakkar, Prachi | 3202016 | SOD INT PATHWAY PARN | 1 | |
| 91874 | Tran, Xuananh Pham | 1689616690 | 6901001 | CC UBCP WHCSV-LAKSHMI SATHYA MV | 1 |
| 91874 | Tran, Xuananh Pham | 1689616690 | 6901002 | CC UBCP WHCSV-LAKSHMI SATHYA SJ | 0 |
| 028193357 | Tung, Celine | 3202002 | SOD GEN DENT PRE-D PARN | 1 | |
| 020974663 | Tward, Aaron Daniel | 1194921205 | 5201555 | OHNS OTOLOGY BAYFRONT | 1 |
| 029992245 | Velazquez, Andy | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 021346697 | Walter, Breanne Kelly | 1346941317 | 20206028 | BCH OAK OPC ORTHOPAEDICS | 0 |
| 160739 | Wendling, Joshua J | 1841869252 | 1100018 | NEURO SPINE PARN 2 | 1 |
| 117200 | Young, Vyvy N. | 1437299351 | 5201526 | OHNS VSC BAYFRONT | 0 |
| 154465 | Zuppann, Katherine L | 1740780113 | 5309039 | REHAB PED OP PT MB | 1 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 143668 | Brown, Madison Taylor-Sachs | 1245959592 | 5201307 | OPHTH PED MB 490 FL3 | 0 |
| 024414534 | Browning, Ashlie Nicole | 1649751694 | 2000055 | CANCER RISK MZ CC3 | 0 |
| 025046160 | Campbell, Andrew | 9010287 | ORTHOTIC & PROS RWS | 0 | |
| 10005084 | Cc Ubcp Ramblc Ma Gupta, | 9100001 | CC UBCP RAMBLC PEDIATRICS | 1 | |
| 024194813 | Ha, Deborah D | 1942556451 | 5309031 | REHAB SPEECH FP BAYFRONT | 1 |
| 109270 | Hoang, Von | 1275921223 | 5201272 | THORACIC MED ONC MB 6 | 0 |
| 52353 | Howard, Renee M | 1952336232 | 20206048 | BCH OAK OPC DERMATOLOGY | 1 |
| 109651 | Huang, Alyssa | 1598106098 | 3010036 | PED DIABETES | 0 |
| 142985 | Lee, Monica | 1356516819 | 7900049 | CC CIP SFOMG BRO OTO | 0 |
| 87997 | Litt, Robin Rosen | 1386956498 | 2050007 | OBGYN MZ 6 | 0 |
| 100054206 | Los Gatos Peds Flu Clinic, | 6700001 | CC UBCP LOS GATOS PEDIATRICS | 1 | |
| 138247 | Matusalem, Justin A | 1720651508 | 9300003 | CC CIP CAL PAC ORTHO CLINIC 715 | 0 |
| 147940 | Metzenberg, Gretchen Elise | 1437531977 | 20212045 | BCH OAK WC STAD CENTER PED PAIN, PALLITIVE & INTEGRATIVE MEDICINE | 1 |
| 90735 | Pathi, Sujatha D | 1639353279 | 5601038 | MH OB UROGYN NV | 0 |
| 023907926 | Ransohoff, Amy | 1477134260 | 2050006 | OBGYN MZ 5 | 0 |
| 136251 | Salahuddin, Ayesha | 1871810622 | 9010088 | CARD MODESTO | 0 |
| 128223 | Sampson, Joshua David | 1497098909 | 9300001 | CC CIP CAL PAC ORTHO CLINIC 108 | 0 |
| 029650884 | Sears, Lisa | 5201070 | CRANIOFACIAL CENTER MB | 1 | |
| 147256 | Tabaranza, Kresta Ria Acosta | 1730812926 | 5201306 | OPHTH OPTOM MB 490 FL4 | 0 |
| 156108 | Tanenbaum, Rebecca Elyse | 1225610462 | 5201057 | OPHTH PED MB | 1 |
| 022161566 | Tong, Barry Shui-Ming | 1730616541 | 5201193 | CANCER GENETICS MB 3 | 1 |
| 028486553 | Uhiara, Ugochi | 1811702814 | 5201032 | OB MISSION BAY | 0 |
| 28093 | Von Scheven, Emily | 1134155898 | 9010361 | PED RHEUM SAN MATEO | 0 |
| 102444 | Watt, Clifton C | 1104096551 | 5201513 | CARD VALVE CENTER | 0 |
| 38926 | Wong, Terrelea K | 1184702730 | 3010029 | EXEC HEALTH MB | 1 |
| 145408 | Yao, Changchang | 1194454355 | 5201241 | HEAD & NECK SURG MB 5 | 0 |
| 154930 | Zarkesh Esfahani, Sayyed Amin | 1780431221 | 5201195 | CANCER GENETICS MB 6 | 1 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 145164 | Agarwal, Shreya | 20206023 | IsPrimaryDep | 1 → 0 |
| 145164 | Agarwal, Shreya | 5201048 | IsPrimaryDep | 0 → 1 |
| 028342186 | Baas, Karen K | 20232001 | IsPrimaryDep | 0 → 1 |
| 028342186 | Baas, Karen K | 20242001 | IsPrimaryDep | 1 → 0 |
| 120471 | Brodie, Kara Danielle | 20206043 | IsPrimaryDep | 1 → 0 |
| 120471 | Brodie, Kara Danielle | 20212004 | IsPrimaryDep | 0 → 1 |
| 95811 | Calabrese, Daniel Russell | 1100118 | IsPrimaryDep | 1 → 0 |
| 95811 | Calabrese, Daniel Russell | 1100148 | IsPrimaryDep | 0 → 1 |
| 023567779 | Calderon, Ana C | 5201542 | Phone | → 415-502-4620 |
| 023567779 | Calderon, Ana C | 5201542 | Fax | → 415-502-4617 |
| 131870 | Casillas Jr., Ernesto | 5201109 | IsPrimaryDep | 1 → 0 |
| 131870 | Casillas Jr., Ernesto | 9010347 | IsPrimaryDep | 0 → 1 |
| 40869 | Chang, Wileen | 2040001 | IsPrimaryDep | 0 → 1 |
| 40869 | Chang, Wileen | 5307001 | IsPrimaryDep | 1 → 0 |
| 024976516 | Chen, Yishui | 20206029 | IsPrimaryDep | 0 → 1 |
| 024976516 | Chen, Yishui | 2040019 | IsPrimaryDep | 1 → 0 |
| 029384732 | Choi, Eunjung | 9010202 | IsPrimaryDep | 1 → 0 |
| 029384732 | Choi, Eunjung | 9010204 | IsPrimaryDep | 0 → 1 |
| 029236056 | Clairmont, Lindsey | 5201542 | Phone | → 415-502-4620 |
| 029236056 | Clairmont, Lindsey | 5201542 | Fax | → 415-502-4617 |
| 022211619 | Colovas, Denise | 20209003 | NPI | → 1841340098 |
| 022211619 | Colovas, Denise | 20209003 | Provider Gender | → Female |
| 022211619 | Colovas, Denise | 20209003 | Title | LMFT → MFT |
| 027527282 | Cruz, Rosalyn Cacho | 5201542 | Phone | → 415-502-4620 |
| 027527282 | Cruz, Rosalyn Cacho | 5201542 | Fax | → 415-502-4617 |
| 027058585 | Cuaresma, Clarice | 7101004 | IsPrimaryDep | 0 → 1 |
| 027058585 | Cuaresma, Clarice | 7102004 | IsPrimaryDep | 1 → 0 |
| 027236280 | Flores, Emily Christine | 2000070 | IsPrimaryDep | 1 → 0 |
| 027236280 | Flores, Emily Christine | 5201006 | IsPrimaryDep | 0 → 1 |
| 128377 | Foote, Sheri L | 2050006 | IsPrimaryDep | 1 → 0 |
| 128377 | Foote, Sheri L | 2050021 | IsPrimaryDep | 0 → 1 |
| 159905 | Gadomski, Therese Elizabeth | 2050006 | IsPrimaryDep | 0 → 1 |
| 159905 | Gadomski, Therese Elizabeth | 2050021 | IsPrimaryDep | 1 → 0 |
| 021243365 | Gee, Sharon B | 2050006 | IsPrimaryDep | 0 → 1 |
| 021243365 | Gee, Sharon B | 5201032 | IsPrimaryDep | 1 → 0 |
| 107010 | Ghaffari, Neda | 20205090 | IsPrimaryDep | 1 → 0 |
| 107010 | Ghaffari, Neda | 5201498 | IsPrimaryDep | 0 → 1 |
| 113750 | Gurrola Ii, Jose G | 5201547 | IsPrimaryDep | 0 → 1 |
| 113750 | Gurrola Ii, Jose G | 9010273 | IsPrimaryDep | 1 → 0 |
| 151849 | Hernandez, Andres | 50100008 | Title | PA → PA-C |
| 59936 | Herz, Susanne Pelley Martin | 9010050 | IsPrimaryDep | 1 → 0 |
| 42978 | Holt, Elizabeth Hopkins | 2000082 | IsPrimaryDep | 0 → 1 |
| 42978 | Holt, Elizabeth Hopkins | 5201521 | IsPrimaryDep | 1 → 0 |
| 64030 | Huang, James | 5201174 | IsPrimaryDep | 1 → 0 |
| 64030 | Huang, James | 9010220 | IsPrimaryDep | 0 → 1 |
| 101912 | Jagodzinski, Jason Edward | 20206028 | IsPrimaryDep | 1 → 0 |
| 101912 | Jagodzinski, Jason Edward | 20243013 | IsPrimaryDep | 0 → 1 |
| 123263 | Jensen, Aaron Ross | 20206036 | IsPrimaryDep | 0 → 1 |
| 123263 | Jensen, Aaron Ross | 9010107 | IsPrimaryDep | 1 → 0 |
| 57802 | Keeffe, Brian G | 5601037 | IsPrimaryDep | 1 → 0 |
| 57802 | Keeffe, Brian G | 5601087 | IsPrimaryDep | 0 → 1 |
| 65831 | Kim, Sunghoon | 20206036 | IsPrimaryDep | 1 → 0 |
| 65831 | Kim, Sunghoon | 20212024 | IsPrimaryDep | 0 → 1 |
| 116197 | Koehler, Matthew M | 5601093 | IsPrimaryDep | 1 → 0 |
| 116197 | Koehler, Matthew M | 5601094 | IsPrimaryDep | 0 → 1 |
| 136253 | Kratka, Allison Kathryn | 5201146 | IsPrimaryDep | 0 → 1 |
| 136253 | Kratka, Allison Kathryn | 5305015 | IsPrimaryDep | 1 → 0 |
| 69840 | Laroque, Elly Susannah | 3010009 | IsPrimaryDep | 0 → 1 |
| 69840 | Laroque, Elly Susannah | 9010279 | IsPrimaryDep | 1 → 0 |
| 024480634 | Latthivongskorn, Jirayut | 1100005 | IsPrimaryDep | 1 → 0 |
| 146985 | Lee, Christopher | 5305015 | IsPrimaryDep | 0 → 1 |
| 146985 | Lee, Christopher | 9010267 | IsPrimaryDep | 1 → 0 |
| 60248 | Leon, Rebecca Chung-Yan | 5201541 | IsPrimaryDep | 0 → 1 |
| 60248 | Leon, Rebecca Chung-Yan | 5201542 | Phone | → 415-502-4620 |
| 60248 | Leon, Rebecca Chung-Yan | 5201542 | Fax | → 415-502-4617 |
| 60248 | Leon, Rebecca Chung-Yan | 5201542 | IsPrimaryDep | 1 → 0 |
| 83655 | Li, Walter Lig-Ming | 20212002 | IsPrimaryDep | 0 → 1 |
| 83655 | Li, Walter Lig-Ming | 9010045 | IsPrimaryDep | 1 → 0 |
| 155777 | Liao, Katherine | 20205109 | Provider Name | Liao, Katherine S → Liao, Katherine |
| 022948293 | Lopez, Freddie | 5201542 | Phone | → 415-502-4620 |
| 022948293 | Lopez, Freddie | 5201542 | Fax | → 415-502-4617 |
| 145275 | Mann, Douglas G. | 7900000 | IsPrimaryDep | 0 → 1 |
| 145275 | Mann, Douglas G. | 7900003 | IsPrimaryDep | 1 → 0 |
| 028036556 | Martinez, Lisa | 5201119 | IsPrimaryDep | 0 → 1 |
| 028036556 | Martinez, Lisa | 5201423 | IsPrimaryDep | 1 → 0 |
| 152601 | Mccallum, Molly Elise | 1100030 | IsPrimaryDep | 1 → 0 |
| 152601 | Mccallum, Molly Elise | 1100038 | IsPrimaryDep | 0 → 1 |
| 136537 | Mcgowan, Samuel | 1100029 | IsPrimaryDep | 0 → 1 |
| 136537 | Mcgowan, Samuel | 5201560 | IsPrimaryDep | 1 → 0 |
| 029689718 | Mcmillan, Elizabeth | 4060015 | IsPrimaryDep | 0 → 1 |
| 029689718 | Mcmillan, Elizabeth | 5201040 | IsPrimaryDep | 1 → 0 |
| 024137440 | Morrell, Monique A | 5201542 | Phone | → 415-502-4620 |
| 024137440 | Morrell, Monique A | 5201542 | Fax | → 415-502-4617 |
| 149433 | Naiem, Ahmed A | 1100049 | Provider Name | Naiem, Ahmed Ashraf Abdel Wahed → Naiem, Ahmed A |
| 149433 | Naiem, Ahmed A | 1100049 | UCSFID | 023454044 → 027987122 |
| 72033 | Nolasco, Joslyn Ryan | 2040009 | IsPrimaryDep | 1 → 0 |
| 72033 | Nolasco, Joslyn Ryan | 9010307 | IsPrimaryDep | 0 → 1 |
| 48015 | Olson, Jennifer Ann | 20206013 | IsPrimaryDep | 0 → 1 |
| 48015 | Olson, Jennifer Ann | 20212003 | IsPrimaryDep | 1 → 0 |
| 45265 | Park, Michael Kwansup | 1100018 | IsPrimaryDep | 1 → 0 |
| 45265 | Park, Michael Kwansup | 9010140 | IsPrimaryDep | 0 → 1 |
| 021091244 | Ponthier, Jazmin Janel | 20232001 | NPI | → 1215379409 |
| 021091244 | Ponthier, Jazmin Janel | 20232001 | Provider Name | Ponthier, Jazmin → Ponthier, Jazmin Janel |
| 63472 | Portale, Anthony A. | 5201041 | IsPrimaryDep | 0 → 1 |
| 63472 | Portale, Anthony A. | 9010224 | IsPrimaryDep | 1 → 0 |
| 10000320 | Post Transplant Md, | 9010182 | IsPrimaryDep | 0 → 1 |
| 10000320 | Post Transplant Md, | 9040048 | IsPrimaryDep | 1 → 0 |
| 87089 | Qasim, Atif Nazier | 3050001 | IsPrimaryDep | 1 → 0 |
| 87089 | Qasim, Atif Nazier | 5201513 | IsPrimaryDep | 0 → 1 |
| 151635 | Ramadas, Ramya | 20207003 | IsPrimaryDep | 1 → 0 |
| 151635 | Ramadas, Ramya | 20208001 | IsPrimaryDep | 0 → 1 |
| 026758169 | Randall, Daniella | 20206016 | Provider Name | Randall, Daniella Zeezee → Randall, Daniella |
| 026758169 | Randall, Daniella | 20206016 | Title | LCSW → |
| 121369 | Rasool, Nailyn | 5201303 | IsPrimaryDep | 0 → 1 |
| 121369 | Rasool, Nailyn | 5201381 | IsPrimaryDep | 1 → 0 |
| 023645351 | Reategui, Andrea S. | 5201542 | Phone | → 415-502-4620 |
| 023645351 | Reategui, Andrea S. | 5201542 | Fax | → 415-502-4617 |
| 121019 | Reid, Brooke I | 2040001 | IsPrimaryDep | 0 → 1 |
| 121019 | Reid, Brooke I | 9010135 | IsPrimaryDep | 1 → 0 |
| 150169 | Romack, Rachel Cherith | 3010004 | IsPrimaryDep | 1 → 0 |
| 150169 | Romack, Rachel Cherith | 3010009 | IsPrimaryDep | 0 → 1 |
| 117237 | Rosen, Clark Alan | 2040014 | IsPrimaryDep | 0 → 1 |
| 117237 | Rosen, Clark Alan | 5201526 | IsPrimaryDep | 1 → 0 |
| … and 47 more modifications | ||||