| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 83861 | Buljan, Michael Marion | 1609038587 | 5201238 | HEAD & NECK ONC MB 5 | 0 |
| 55844 | Coll, Ana Carolina | 1518939263 | 20201004 | BCH OAK PED CARD FRESNO | 0 |
| 026760637 | Dimoveo, Madison | 5201238 | HEAD & NECK ONC MB 5 | 1 | |
| 161197 | Dotzler, Marissa N | 1689344160 | 1000086 | REHAB OUTPT MBSS | 0 |
| 161197 | Dotzler, Marissa N | 1689344160 | 5309040 | REHAB PED OP SPEECH MB | 1 |
| 029785896 | Dunbar, Fiona | 20206003 | BCH OAK OPC OT | 1 | |
| 148840 | Guner, Joie Zeynep | 1396164422 | 5202007 | REPRO PROCEDURE CTR MB | 0 |
| 027716059 | Hopfensperger, Kaitlyn | 5201049 | PED ONCOLOGY MB | 1 | |
| 020142485 | Lampard, Alexandria | 7105002 | HOME HEALTH SCHEDULING | 1 | |
| 83809 | Lindsay, Sheila Nolan | 1093093791 | 2000018 | GI MED ONC MZ CC4 | 0 |
| 10002430 | Mb Aud Walk-In, | 5307001 | AUDIOLOGY MB | 1 | |
| 160839 | Meier, Felix Daniel | 1689548083 | 7900047 | CC CIP SFOMG SUT OTO 1404 | 1 |
| 021063607 | Pensa, Arley | 5201049 | PED ONCOLOGY MB | 1 | |
| 024857583 | Torres Soto, Nadia | 5801034 | MHMC BRADEN CENTER | 1 | |
| 92835 | Tsai, Katy Kaiju | 1417275827 | 5201503 | CITE CLINIC MB 3 | 0 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 49559 | Basu, Anjuli | 1679583579 | 5601001 | MH PRMRY CARE LKSLND | 1 |
| 50000224 | Bch Oak Or Cath Lab, | 20205037 | BCH OAK DI CATH LAB | 1 | |
| 024638926 | Calderon, Janely | 1588236483 | 7900071 | CC CIP SFOMG SUT BAL | 1 |
| 10005164 | Covid Provider Wc, | 20212037 | BCH OAK WC PREANESTHESIA | 1 | |
| 10007791 | Derm Nurse Bayfront, | 5201528 | DERM BAYFRONT | 1 | |
| 10004257 | Erg Technician Adult, | 5201300 | OPHTH ERG MB 490 | 1 | |
| 93828 | Famini, Amy Gorchoff | 1104136696 | 7600000 | CC UBCP BERKELEY PEDS | 1 |
| 52030 | Fong, Sherina Juanita | 1538455993 | 5201395 | PED REHAB PM&R MB | 0 |
| 96726 | Jaeger, Amber L | 1326281023 | 5601003 | MH OB UROGYN GB | 1 |
| 141578 | King, Jennifer | 1205385267 | 9010157 | ORTHO SPINE BOPC | 0 |
| 022863880 | Langfus, Joshua | 5201450 | PSYCH PEDS PRITZKER | 1 | |
| 159751 | Macdougall, Matthew Steven | 1740867001 | 6600002 | CC UBCP ALLERGY AND ASTHMA ASSOCIATES BLOSSOM HILL | 0 |
| 112929 | Mashinchi, Joseph Michael | 1184004913 | 20212012 | BCH OAK WC ORTHOPAEDICS | 0 |
| 024592842 | Mcnally, Aimee | 5801036 | MHMC INTEGRATIVE WELLNESS CENTER | 1 | |
| 10008316 | Mh Endo Gb Provider 2, | 5601039 | MH ENDO GB | 1 | |
| 10008314 | Mh Endo Provider Gb, | 5601039 | MH ENDO GB | 1 | |
| 021637202 | Miyahara, Keiko | 3202009 | SOD PERIODONTAL SPECIALTY PARN | 0 | |
| 143496 | Nguyen, Daniel | 1902565088 | 9300001 | CC CIP CAL PAC ORTHO CLINIC 108 | 0 |
| 10004572 | Np Schedule, | 9010357 | REPRO ENDO & INFERTILITY BOPC | 0 | |
| 152981 | Omar, Deega | 1548956477 | 2030003 | DERM RES MZ DIVIS 3 | 1 |
| 10002580 | Pdcwc1, | 7000005 | CC UBCP MFM PDC WALNUT CREEK | 1 | |
| 10002581 | Pdcwc2, | 7000005 | CC UBCP MFM PDC WALNUT CREEK | 1 | |
| 10000560 | Pedi Nurse Surgery, | 5201055 | PED SURG MB | 1 | |
| 025693193 | Phillips, Bree | 5201042 | PED RHEUMATOLOGY MB | 0 | |
| 10007591 | Primary Care Bayfront Flu, | 5201556 | PRIMARY CARE FLU BAYFRONT | 1 | |
| 10000188 | Resident Mfm Clinic, | 5201498 | COMPLEX OBSTETRIC MED | 1 | |
| 132648 | Santa Maria, Sue-Jean | 1659848950 | 5201091 | PRIMARY CARE CB BERRY | 1 |
| 10004103 | Sleep Lab Tech, | 20205095 | BCH OAK SLEEP LAB | 1 | |
| 026358440 | Smolich, Liana Skye | 1457876831 | 2000055 | CANCER RISK MZ CC3 | 0 |
| 143872 | Stoner, Lily | 1912626318 | 5601038 | MH OB UROGYN NV | 0 |
| 10005313 | Testing - Mountain View Aaanc, | 6600006 | CC UBCP ALLERGY AND ASTHMA ASSOCIATES MOUNTAIN VIEW | 1 | |
| 135861 | Tolani, Alisha Tara | 1730615014 | 5202007 | REPRO PROCEDURE CTR MB | 0 |
| 127649 | Wenters, Joan S | 1063502151 | 20209002 | BCH OAK PSYCHOLOGICAL SERVICES | 1 |
| 145408 | Yao, Changchang | 1194454355 | 5201526 | OHNS VSC BAYFRONT | 0 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 021219340 | Antalek, Bobby | 1100148 | IsPrimaryDep | 1 → 0 |
| 021219340 | Antalek, Bobby | 5201136 | IsPrimaryDep | 0 → 1 |
| 029268950 | Bastos, Carolina | 20205036 | Title | MSW → |
| 024638926 | Calderon, Janely | 7900002 | IsPrimaryDep | 0 → 1 |
| 022858922 | Chan, Ericka | 7101002 | Title | RN → LVN |
| 151311 | Chandrashekhar, Swathy | 5201487 | IsPrimaryDep | 0 → 1 |
| 151311 | Chandrashekhar, Swathy | 9010233 | IsPrimaryDep | 1 → 0 |
| 028562866 | Da Rosa Baptista, Sophia | 20206007 | Title | LCSW → |
| 58708 | Davis, Mary N | 5601003 | IsPrimaryDep | 0 → 1 |
| 58708 | Davis, Mary N | 5601038 | IsPrimaryDep | 1 → 0 |
| 029987997 | Despabiladeras, Shantelle | 20206024 | Title | LCSW → |
| 149868 | Dudum, Ramzi E | 3050001 | Provider Name | Dudum, Ramzi → Dudum, Ramzi E |
| 028704344 | Gamiao, Rocel | 20206013 | Title | LCSW → |
| 026029587 | Gomez, Leticia | 20207003 | Title | LCSW → |
| 021472410 | Ibarra, Genesis | 20212002 | IsPrimaryDep | 0 → 1 |
| 021472410 | Ibarra, Genesis | 20212005 | IsPrimaryDep | 1 → 0 |
| 57802 | Keeffe, Brian G | 5601037 | IsPrimaryDep | 0 → 1 |
| 57802 | Keeffe, Brian G | 5601087 | IsPrimaryDep | 1 → 0 |
| 026004929 | Kossler, Gina | 5201138 | Title | MSW → |
| 83655 | Li, Walter Lig-Ming | 20212002 | IsPrimaryDep | 0 → 1 |
| 83655 | Li, Walter Lig-Ming | 9010045 | IsPrimaryDep | 1 → 0 |
| 025494881 | Major, Kimberly | 20206017 | Title | MSW → |
| 48151 | Marcel, Claire Ogata | 20206019 | IsPrimaryDep | 0 → 1 |
| 48151 | Marcel, Claire Ogata | 5201070 | IsPrimaryDep | 1 → 0 |
| 027275122 | Menjivar, Frances | 20206011 | Title | LCSW → |
| 026919639 | Monroy, Leticia | 20206019 | Title | MSW → |
| 021802962 | Mundera, Patricia | 20205036 | Title | LCSW → |
| 022799530 | Nigro, Julianne | 20206041 | Provider Name | Nigro, Julie → Nigro, Julianne |
| 022799530 | Nigro, Julianne | 20206041 | Title | LCSW → |
| 136607 | Odette, Michelle Alicia | 4060005 | IsPrimaryDep | 1 → 0 |
| 136607 | Odette, Michelle Alicia | 5201459 | IsPrimaryDep | 0 → 1 |
| 028947273 | Penate, Rosalinda | 20206014 | Title | LCSW → |
| 10000320 | Post Transplant Md, | 9010182 | IsPrimaryDep | 1 → 0 |
| 10000320 | Post Transplant Md, | 9040048 | IsPrimaryDep | 0 → 1 |
| 026758169 | Randall, Daniella Zeezee | 20206016 | Provider Name | Randall, Daniella → Randall, Daniella Zeezee |
| 026758169 | Randall, Daniella Zeezee | 20206016 | Title | → LCSW |
| 024624272 | Rash, Keri | 20205036 | Title | LCSW → |
| 020284485 | Ravitz, Adrian B. | 5201119 | IsPrimaryDep | 0 → 1 |
| 020284485 | Ravitz, Adrian B. | 9010287 | IsPrimaryDep | 1 → 0 |
| 025906512 | Rennels, Carolyn Forsyth | 5201198 | IsPrimaryDep | 0 → 1 |
| 025906512 | Rennels, Carolyn Forsyth | 5201316 | IsPrimaryDep | 1 → 0 |
| 020661724 | Rivas, Clarissa | 20206021 | Title | LCSW → |
| 028991495 | Sajer, Megan | 6100003 | Provider Name | Sajer, Megan Eileen → Sajer, Megan |
| 028991495 | Sajer, Megan | 6100003 | Title | OD → |
| 028991495 | Sajer, Megan | 6100005 | Provider Name | Sajer, Megan Eileen → Sajer, Megan |
| 028991495 | Sajer, Megan | 6100005 | Title | OD → |
| 028991495 | Sajer, Megan | 6100009 | Provider Name | Sajer, Megan Eileen → Sajer, Megan |
| 028991495 | Sajer, Megan | 6100009 | Title | OD → |
| 028991495 | Sajer, Megan | 6100011 | Provider Name | Sajer, Megan Eileen → Sajer, Megan |
| 028991495 | Sajer, Megan | 6100011 | Title | OD → |
| 028991495 | Sajer, Megan | 6100020 | Provider Name | Sajer, Megan Eileen → Sajer, Megan |
| 028991495 | Sajer, Megan | 6100020 | Title | OD → |
| 19217 | Schrader, Michael C. | 50100001 | IsPrimaryDep | 0 → 1 |
| 19217 | Schrader, Michael C. | 50100011 | IsPrimaryDep | 1 → 0 |
| 023926405 | Schweber-Koren, Marisa | 20206039 | Title | LCSW → |
| 023119258 | Sellers, Lacandia | 5201102 | Provider Name | Sellers, Lacandia N → Sellers, Lacandia |
| 023119258 | Sellers, Lacandia | 5201102 | Title | LCSW → |
| 83577 | Theologis, Alexander Antonios | 1100125 | IsPrimaryDep | 0 → 1 |
| 83577 | Theologis, Alexander Antonios | 9010157 | IsPrimaryDep | 1 → 0 |
| 021045588 | Thompson-Tucker, Alyssa B | 5601098 | Provider Name | Thompson-Tucker, Alyssa Beth → Thompson-Tucker, Alyssa B |
| 024821944 | Tong, Courtney | 5202004 | Title | LCSW → |
| 028662963 | Vazquez, Teresa | 20206040 | Title | MSW → |
| 68358 | Winnicki, Erica Durieux | 20206025 | IsPrimaryDep | 1 → 0 |
| 68358 | Winnicki, Erica Durieux | 5201041 | IsPrimaryDep | 0 → 1 |
| 115626 | Witt Gaspard, Leah Jean | 1100029 | IsPrimaryDep | 1 → 0 |
| 115626 | Witt Gaspard, Leah Jean | 2040012 | IsPrimaryDep | 0 → 1 |