| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 138850 | Allair, Hilary | 1194337451 | 5601003 | MH OB UROGYN GB | 0 |
| 143531 | Avagyan, Serine | 1447540547 | 5201048 | PED HEM MB | 1 |
| 105330 | Bangalore Vatsan Sri, Lakshmi | 1437321866 | 6901001 | CC UBCP WHCSV-LAKSHMI SATHYA MV | 1 |
| 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 |
| 123801 | Digiorgio, Anthony M | 1629137781 | 9010283 | NEUROSURGERY SAN MATEO | 0 |
| 152599 | Doshi, Nirmita | 1508486903 | 5201460 | ENDO BONE PARN | 0 |
| 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 |
| 98250 | Kharbanda, Sandhya | 1750498226 | 20206035 | BCH OAK OPC BONE MARROW TRANS | 0 |
| 43782 | Leavitt, Andrew D. | 1952343113 | 5201490 | NON MALIGNANT HEM OB MB | 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 | |
| 128223 | Sampson, Joshua David | 1497098909 | 9300012 | CC CIP CAL PAC ORTHO CLINIC 707 | 0 |
| 97491 | Saylor, Drew K | 1306289723 | 2030013 | DERM SURGERY MZ MB2 3 | 0 |
| 026173559 | Sewald, Cassie | 6901001 | CC UBCP WHCSV-LAKSHMI SATHYA MV | 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 |
| 020974663 | Tward, Aaron Daniel | 1194921205 | 5201555 | OHNS OTOLOGY BAYFRONT | 1 |
| 154465 | Zuppann, Katherine L | 1740780113 | 5309039 | REHAB PED OP PT MB | 1 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 138247 | Matusalem, Justin A | 1720651508 | 9300003 | CC CIP CAL PAC ORTHO CLINIC 715 | 0 |
| 90735 | Pathi, Sujatha D | 1639353279 | 5601038 | MH OB UROGYN NV | 0 |
| 136251 | Salahuddin, Ayesha | 1871810622 | 9010088 | CARD MODESTO | 0 |
| 38926 | Wong, Terrelea K | 1184702730 | 3010029 | EXEC HEALTH MB | 1 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 138850 | Allair, Hilary | 5601038 | IsPrimaryDep | 0 → 1 |
| 138850 | Allair, Hilary | 5601096 | IsPrimaryDep | 1 → 0 |
| 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 |
| 029743473 | Chang, Andrew | 3010002 | IsPrimaryDep | 0 → 1 |
| 029743473 | Chang, Andrew | 5201119 | 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 |
| 106233 | Daras, Mariza | 1100058 | IsPrimaryDep | 1 → 0 |
| 106233 | Daras, Mariza | 5201352 | IsPrimaryDep | 0 → 1 |
| 020786562 | Dominguez, Kenia E. | 20210002 | Title | → MFT |
| 64030 | Huang, James | 5201174 | IsPrimaryDep | 1 → 0 |
| 64030 | Huang, James | 9010220 | IsPrimaryDep | 0 → 1 |
| 65831 | Kim, Sunghoon | 20206036 | IsPrimaryDep | 1 → 0 |
| 65831 | Kim, Sunghoon | 20212024 | IsPrimaryDep | 0 → 1 |
| 136253 | Kratka, Allison Kathryn | 5201146 | IsPrimaryDep | 0 → 1 |
| 136253 | Kratka, Allison Kathryn | 5305015 | IsPrimaryDep | 1 → 0 |
| 146985 | Lee, Christopher | 5305015 | IsPrimaryDep | 0 → 1 |
| 146985 | Lee, Christopher | 9010267 | IsPrimaryDep | 1 → 0 |
| 60248 | Leon, Rebecca Chung-Yan | 5201542 | Phone | → 415-502-4620 |
| 60248 | Leon, Rebecca Chung-Yan | 5201542 | Fax | → 415-502-4617 |
| 83655 | Li, Walter Lig-Ming | 20212002 | IsPrimaryDep | 0 → 1 |
| 83655 | Li, Walter Lig-Ming | 9010045 | IsPrimaryDep | 1 → 0 |
| 022948293 | Lopez, Freddie | 5201542 | Phone | → 415-502-4620 |
| 022948293 | Lopez, Freddie | 5201542 | Fax | → 415-502-4617 |
| 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 |
| 136607 | Odette, Michelle Alicia | 4060005 | IsPrimaryDep | 0 → 1 |
| 136607 | Odette, Michelle Alicia | 5201459 | IsPrimaryDep | 1 → 0 |
| 45265 | Park, Michael Kwansup | 1100018 | IsPrimaryDep | 1 → 0 |
| 45265 | Park, Michael Kwansup | 9010140 | IsPrimaryDep | 0 → 1 |
| 023645351 | Reategui, Andrea S. | 5201542 | Phone | → 415-502-4620 |
| 023645351 | Reategui, Andrea S. | 5201542 | Fax | → 415-502-4617 |
| 85204 | Ross, Javay Monique | 20207003 | IsPrimaryDep | 0 → 1 |
| 85204 | Ross, Javay Monique | 89000000 | IsPrimaryDep | 1 → 0 |
| 97266 | Rubin, Jessica Beth | 5201083 | IsPrimaryDep | 1 → 0 |
| 97266 | Rubin, Jessica Beth | 5201465 | IsPrimaryDep | 0 → 1 |
| 80651 | Sabatini, Coleen S | 20206028 | IsPrimaryDep | 1 → 0 |
| 80651 | Sabatini, Coleen S | 20212012 | IsPrimaryDep | 0 → 1 |
| 118497 | Sabharwal, Sanjeev | 20206028 | IsPrimaryDep | 1 → 0 |
| 118497 | Sabharwal, Sanjeev | 20212012 | IsPrimaryDep | 0 → 1 |
| 132648 | Santa Maria, Sue-Jean | 5201091 | IsPrimaryDep | 0 → 1 |
| 132648 | Santa Maria, Sue-Jean | 9010257 | IsPrimaryDep | 1 → 0 |
| 133875 | Shapiro, Lauren Michelle | 3010005 | IsPrimaryDep | 1 → 0 |
| 133875 | Shapiro, Lauren Michelle | 9010276 | IsPrimaryDep | 0 → 1 |
| 023926652 | Trinh, Enda Wong | 5201542 | Phone | → 415-502-4620 |
| 023926652 | Trinh, Enda Wong | 5201542 | Fax | → 415-502-4617 |
| 020974663 | Tward, Aaron Daniel | 2060009 | IsPrimaryDep | 1 → 0 |
| 115626 | Witt Gaspard, Leah Jean | 1100029 | IsPrimaryDep | 0 → 1 |
| 115626 | Witt Gaspard, Leah Jean | 2040012 | IsPrimaryDep | 1 → 0 |