| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 34781 | Adey, Deborah Bachtold | 1609823459 | 9010182 | KIDNEY TR POST FRESNO TNG | 0 |
| 61898 | Aggarwal, Rahul Raj | 1174794309 | 5201267 | INVSTGTNL THERAPY MB 6 | 0 |
| 026598565 | Balasubramani, Swetha | 3202001 | SOD PED DENT PARN | 0 | |
| 159996 | Ballard, Rachel Rushton | 1750487914 | 20241001 | BCH OAK BEH HEALTH &PSYCHIATRY | 1 |
| 025136540 | Berkowitz, Bethany | 7101002 | BTBH SCHEDULING | 1 | |
| 020834719 | Bhumra, Amrita | 3202001 | SOD PED DENT PARN | 0 | |
| 141214 | Blebea, Catherine Anne | 1134680531 | 1100029 | PULMONARY PARN | 1 |
| 103765 | Bove, Riley M | 1053516625 | 5201487 | NEURO WEILL | 0 |
| 028841724 | Breuer, Mariana | 5201258 | PLAS ONC RECON MB 3 | 1 | |
| 147407 | Chang, Irene J | 1033539671 | 20206045 | BCH OAK OPC GENETICS | 0 |
| 022552558 | Chien, Chung-Wei | 3202001 | SOD PED DENT PARN | 0 | |
| 42073 | Church, Gwynne D. | 1801838925 | 5201043 | PED PULMONARY MB | 0 |
| 158767 | Cruz Pacas, Heysell G | 1730979139 | 2040001 | AUDIOLOGY MZ | 1 |
| 152409 | Daily, Kylene Patricia | 1477305720 | 1100057 | NEURO PARN | 1 |
| 22085 | Huie, Sonja Jean Fong | 1972664399 | 9400002 | CC UBCP PACIFIC PEDIATRICS CASTRO | 0 |
| 023438575 | Kawakami, Yumiko K | 1689099194 | 5309026 | REHAB PT OPTIMAL | 1 |
| 029037892 | Khan, Seher Pervaiz | 3202001 | SOD PED DENT PARN | 0 | |
| 024448821 | Kharat, Piyusha Dinkar | 3202001 | SOD PED DENT PARN | 0 | |
| 023547102 | Kim, Jey | 3202001 | SOD PED DENT PARN | 0 | |
| 029830528 | Kimmel, Jamie B | 1100123 | KIDNEY PRE PARN 7 | 1 | |
| 029830528 | Kimmel, Jamie B | 5201099 | LIVER TR LVG DNR PARN | 0 | |
| 026193573 | Komarisetty, Supritha Shetty | 3202001 | SOD PED DENT PARN | 0 | |
| 146985 | Lee, Christopher | 1568993467 | 3050001 | CARD MB | 0 |
| 161111 | Lucarelli, Ashley Karen | 1992374243 | 9300001 | CC CIP CAL PAC ORTHO CLINIC 108 | 0 |
| 99514 | Malladi, Vikram | 1902814015 | 5601077 | MH GASTRO COMM HOSP NV | 0 |
| 110081 | Mason, Ashley Elizabeth | 1578011375 | 2110005 | OSHER MZ | 1 |
| 020599106 | Nguyen, Ethan | 3202001 | SOD PED DENT PARN | 0 | |
| 10008111 | Oit - San Mateo Aaanc, | 6600009 | CC UBCP ALLERGY AND ASTHMA ASSOCIATES SAN MATEO | 1 | |
| 132305 | Penon Portmann, Monica | 1063030146 | 5201044 | PED GENETICS MB | 0 |
| 026057331 | Potluri, Vaishnavi | 3202001 | SOD PED DENT PARN | 0 | |
| 020413233 | Smith, Zachary | 3202001 | SOD PED DENT PARN | 0 | |
| 022533368 | Suresh, Alishea | 3202001 | SOD PED DENT PARN | 0 | |
| 024821944 | Tong, Courtney | 5201055 | PED SURG MB | 0 | |
| 80178 | Waung, Maggie Wai-Ming | 1366766834 | 5201466 | GEN NEURO WEILL | 0 |
| 131585 | Zaragoza, Cazandra | 1609404839 | 1100005 | URGENT CARE PARN | 1 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 10000562 | Adult Chronic Dialysis Provider, | 2080001 | DIALYSIS MZ | 1 | |
| 120765 | Aldahhan, Nadine | 1609202308 | 5601015 | MH PRMRY CARE SAUS | 1 |
| 10004015 | Asthma Clinic, | 20207003 | BCH OAK FQ CONTINUITY | 1 | |
| 10005975 | Bch Oak Opc 4th Floor Treatment Room, | 20206013 | BCH OAK OPC ENDOCRINOLOGY | 0 | |
| 020831608 | Bond, Anu | 7101002 | BTBH SCHEDULING | 1 | |
| 103739 | Brodie, Frank Lewis | 1811317357 | 5201312 | OPHTH RETINA MB 490 FL4 | 1 |
| 28596 | Burke, Beatrice Anne | 1033298625 | 7025001 | CC UBCP MEDICAL ARTS OBGYN | 1 |
| 024638926 | Calderon, Janely | 1588236483 | 7900002 | CC CIP SFOMG SUT AUD | 1 |
| 138159 | Chandra, Archana Kartik | 1518358142 | 5201518 | ALLERGY BAYFRONT | 0 |
| 121068 | Charalel, Julia Morgan | 1043680291 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 15647 | Chase, Michael C | 1457423105 | 5601015 | MH PRMRY CARE SAUS | 1 |
| 151596 | Chawla, Rachit | 1225489065 | 6800001 | CC UBCP ALMADEN PEDIATRICS SAN JOSE | 0 |
| 152801 | Chung, Graham | 1386329183 | 6100003 | CC UCBEYE CONTACT LENS MH | 1 |
| 028138063 | Chung, Priscilla Wj | 1265158422 | 2050013 | REHAB PT WH MZ5 | 0 |
| 023668759 | Cockerham, Tyrena | 20206004 | BCH OAK OPC PT | 1 | |
| 155263 | Dart, Cara N | 1669960639 | 5309029 | REHAB OT BAYFRONT | 0 |
| 26469 | Demuth, Brian E | 1770553950 | 5601003 | MH OB UROGYN GB | 1 |
| 020488805 | Eiseman, Molly O | 1053571448 | 20206018 | BCH OAK OPC AUDIOLOGY | 1 |
| 025716689 | Finestone, Erin H | 1881477974 | 3010013 | REHAB PT FP MB | 1 |
| 123746 | Gong, Celia | 1619498656 | 6100009 | CC UCBEYE MYOPIA MH | 1 |
| 149880 | Griffin, Florencia | 1235594425 | 5601010 | MH CARDIOVASC LKS | 1 |
| 025747940 | Griffin, Kaitlin | 1013341379 | 20206018 | BCH OAK OPC AUDIOLOGY | 1 |
| 10007231 | Gyn Surgery Scheduler, | 5601003 | MH OB UROGYN GB | 1 | |
| 020892717 | Harmon, Rachel Kay | 1437048824 | 6100011 | CC UCBEYE PRIMARY CARE MH | 0 |
| 77097 | Hurd, Sophia Trimica | 1427287945 | 7022001 | CC UBCP LAUREL HEIGHTS PEDIATRIC AND ADOLESCENT CARE | 1 |
| 10000631 | Intern O Pt Dept, | 5309030 | REHAB PT FP BAYFRONT | 1 | |
| 128122 | Johnson, Alice Victoria | 1639520273 | 20206035 | BCH OAK OPC BONE MARROW TRANS | 1 |
| 027171172 | Johnson, Bridget Catherine | 1598124893 | 5201060 | PED PRIM NEONAT MB | 0 |
| 115078 | Kuo, Camie Hsinyu | 1518211465 | 1100005 | URGENT CARE PARN | 1 |
| 139410 | Labrec, Jordan E | 1194338962 | 3010013 | REHAB PT FP MB | 0 |
| 102816 | Laffan, Angela Mary | 1710044482 | 5201536 | CANCER DIAGNOSTICS MB4 | 0 |
| 127398 | Libow, Judith A | 1205982139 | 20209002 | BCH OAK PSYCHOLOGICAL SERVICES | 1 |
| 026848994 | Lundin, Abigail | 20212005 | BCH OAK WC GASTROENTEROLOGY | 0 | |
| 10345 | Mailhot, James | 1942392626 | 5201146 | CARD DBC | 1 |
| 50204 | Martin, Grace Tandoc | 1356454086 | 5601048 | MH PEDS SRF | 0 |
| 73873 | Matthews, Jenifer Leigh | 1639334055 | 20206053 | BCH OAK STAD CENTER PED PAIN, PALLIATIVE & INTEGRATIVE MEDICINE | 0 |
| 152769 | Mcdonald, Jennifer Rachel | 1578147179 | 5201455 | PSYCH HALP PRITZKER | 0 |
| 023908932 | Melick, Colin | 5201054 | ORTHOTIC & PROS MB | 0 | |
| 023554223 | Merriweather, Frances | 20207003 | BCH OAK FQ CONTINUITY | 1 | |
| 10004316 | Mh Cvd Cc, | 5601010 | MH CARDIOVASC LKS | 1 | |
| 10008189 | Mh Rn Navigator, | 5601083 | MH ORTHO SRF | 1 | |
| 580100027 | Mhmc Cardiology Tech, | 5801049 | MHMC CV PROCEDURES | 1 | |
| 50000363 | Mhmc Hf Ffr, | 5801050 | MHMC RAD CT SCAN | 1 | |
| 50000406 | Mhmc Nm3, | 5801058 | MHMC RAD NUCLEAR MED | 1 | |
| 50000357 | Mhmc Rad Consult Room, | 5801053 | MHMC RAD IR | 1 | |
| 50000410 | Mhmc Rad Mr Trail, | 5801056 | MHMC RAD MRI | 1 | |
| 1007010 | New Patient Coordinator - Cardiac Surgery, | 1100043 | CARD SURG PARN | 1 | |
| 10006713 | New Patient Navigator - Ubcp Santa Cruz, | 7027001 | CC UBCP FAMILY MED SC | 1 | |
| 10004914 | New Patient Navigator Rad Onc - Mission Bay, | 5310001 | RAD ONC MB 1 | 1 | |
| 10000199 | Nurse Chest Faculty, | 1100029 | PULMONARY PARN | 1 | |
| 10006603 | Nurse Ped Allergy, | 5201037 | PED ALLERGY MB | 1 | |
| 10007606 | Ohns Gen Nurse Bayfront, | 5201525 | OHNS GEN OTOL BAYFRONT | 1 | |
| 10006602 | Ohns Gen Nurse Rws, | 9010273 | OHNS RWS | 1 | |
| 027349141 | Olivera, Jessica | 5801034 | MHMC BRADEN CENTER | 1 | |
| 023241466 | Orozco, Isela Lisette | 1720977127 | 6100003 | CC UCBEYE CONTACT LENS MH | 0 |
| 10007798 | Pain Med Bayfront Vendor, | 5201527 | PAIN MED BAYFRONT | 1 | |
| 142999 | Pappas, Alyson L | 1053787002 | 5201034 | OHNS PEDS MB | 1 |
| 136379 | Patel, Yogin K | 1104557164 | 3204001 | SOD DENT ONC MB | 1 |
| 10002462 | Pdc Admin, | 7000002 | CC UBCP MFM PDC | 1 | |
| 10002704 | Pdcwc3, | 7000005 | CC UBCP MFM PDC WALNUT CREEK | 1 | |
| 10007329 | Pediatric Diabetes Eod, | 3010036 | PED DIABETES | 1 | |
| 027020528 | Rist, Rosalba Gonzalez | 3010029 | EXEC HEALTH MB | 1 | |
| 119474 | Roan, Marian E | 1619128725 | 20206013 | BCH OAK OPC ENDOCRINOLOGY | 0 |
| 027312628 | Roche, Frances | 1588707277 | 5201031 | PDC MB | 1 |
| 127394 | Rosso, Stephanie Joyce | 1619022266 | 20209002 | BCH OAK PSYCHOLOGICAL SERVICES | 1 |
| 50000316 | Rws Xr Rwsxr, | 9010280 | RAD X-RAY RWS | 1 | |
| 028991495 | Sajer, Megan | 1760370860 | 6100003 | CC UCBEYE CONTACT LENS MH | 0 |
| 38273 | Sang, Helen L | 1629229406 | 1000086 | REHAB OUTPT MBSS | 1 |
| 154427 | Schwab, Marcus | 1609503861 | 9300012 | CC CIP CAL PAC ORTHO CLINIC 707 | 0 |
| 107987 | Shantha, Jessica Gowramma | 1033403258 | 9010154 | OPHTH CORNEA BOPC | 0 |
| 029258886 | Sheperdson, Alexandra | 1396528816 | 9300012 | CC CIP CAL PAC ORTHO CLINIC 707 | 0 |
| 55653 | Stein, Peter H | 1730295643 | 5601030 | MH RHEUM SRF | 1 |
| 60481 | Stong, Mont E | 1366864126 | 7900002 | CC CIP SFOMG SUT AUD | 1 |
| 128287 | Sweeney, Patricia Hogan | 1245704303 | 5201068 | REPRO ENDO & INFERTILITY MB | 1 |
| 029456746 | Torok, Hannah Rose | 1326722158 | 7900073 | CC CIP SFOMG FRE AUD | 1 |
| 109177 | Tsao, Lulu Rebecca | 1780047779 | 1100027 | ALLERGY PARN | 1 |
| 1007041 | Urogyn Surgeon, | 3010033 | MIGS UROGYN | 1 | |
| 137024 | Walker, Molly Moosman | 1932430139 | 5201034 | OHNS PEDS MB | 0 |
| 021724216 | Weigand, Alexandra | 5201450 | PSYCH PEDS PRITZKER | 1 | |
| 152992 | Wu, Ashley | 1134705809 | 5201455 | PSYCH HALP PRITZKER | 0 |
| 104199 | Yang, Rachel L | 1982048724 | 5601008 | MH BRST SURG OB/GYN GB | 1 |
| 145408 | Yao, Changchang | 1194454355 | 2040014 | OHNS VOICE MZ POST | 1 |
| 022272025 | Yoon, Jihee | 3202016 | SOD INT PATHWAY PARN | 0 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 145164 | Agarwal, Shreya | 20206023 | IsPrimaryDep | 0 → 1 |
| 145164 | Agarwal, Shreya | 5201048 | IsPrimaryDep | 1 → 0 |
| 158263 | Beeson, Erynn Anne | 5201199 | IsPrimaryDep | 0 → 1 |
| 158263 | Beeson, Erynn Anne | 5201316 | IsPrimaryDep | 1 → 0 |
| 97995 | Besson, Deborah Chen | 2050009 | IsPrimaryDep | 0 → 1 |
| 97995 | Besson, Deborah Chen | 2050020 | IsPrimaryDep | 1 → 0 |
| 133016 | Bhasin, Neha | 20206041 | IsPrimaryDep | 0 → 1 |
| 133016 | Bhasin, Neha | 20212043 | IsPrimaryDep | 1 → 0 |
| 027904978 | Braun, Mitchell Thomas | 2030003 | IsPrimaryDep | 1 → 0 |
| 027904978 | Braun, Mitchell Thomas | 5201062 | IsPrimaryDep | 0 → 1 |
| 151311 | Chandrashekhar, Swathy | 5201487 | IsPrimaryDep | 1 → 0 |
| 151311 | Chandrashekhar, Swathy | 9010233 | IsPrimaryDep | 0 → 1 |
| 40869 | Chang, Wileen | 2040001 | IsPrimaryDep | 1 → 0 |
| 40869 | Chang, Wileen | 5307001 | IsPrimaryDep | 0 → 1 |
| 107404 | Cheng, Philip Yu-Shyang | 20225001 | IsPrimaryDep | 0 → 1 |
| 107404 | Cheng, Philip Yu-Shyang | 9010049 | IsPrimaryDep | 1 → 0 |
| 109763 | Cil, Onur | 5201041 | IsPrimaryDep | 1 → 0 |
| 109763 | Cil, Onur | 5201177 | IsPrimaryDep | 0 → 1 |
| 111413 | Czechowicz, Josephine A | 20206043 | IsPrimaryDep | 1 → 0 |
| 111413 | Czechowicz, Josephine A | 20215004 | IsPrimaryDep | 0 → 1 |
| 28413 | De Pinto, Mario | 5201527 | IsPrimaryDep | 1 → 0 |
| 28413 | De Pinto, Mario | 9010174 | IsPrimaryDep | 0 → 1 |
| 42978 | Holt, Elizabeth Hopkins | 2000082 | IsPrimaryDep | 1 → 0 |
| 42978 | Holt, Elizabeth Hopkins | 5201521 | IsPrimaryDep | 0 → 1 |
| 123263 | Jensen, Aaron Ross | 20206036 | IsPrimaryDep | 1 → 0 |
| 123263 | Jensen, Aaron Ross | 9010107 | IsPrimaryDep | 0 → 1 |
| 027203827 | Kelly, Catherine | 6002108 | IsPrimaryDep | 1 → 0 |
| 027203827 | Kelly, Catherine | 8001035 | IsPrimaryDep | 0 → 1 |
| 116197 | Koehler, Matthew M | 5601093 | IsPrimaryDep | 0 → 1 |
| 116197 | Koehler, Matthew M | 5601094 | IsPrimaryDep | 1 → 0 |
| 136253 | Kratka, Allison Kathryn | 5201146 | IsPrimaryDep | 0 → 1 |
| 136253 | Kratka, Allison Kathryn | 5305015 | IsPrimaryDep | 1 → 0 |
| 104182 | Lee, Janet Yi Man | 5201036 | IsPrimaryDep | 0 → 1 |
| 104182 | Lee, Janet Yi Man | 5201572 | IsPrimaryDep | 1 → 0 |
| 60248 | Leon, Rebecca Chung-Yan | 5201541 | IsPrimaryDep | 1 → 0 |
| 60248 | Leon, Rebecca Chung-Yan | 5201542 | IsPrimaryDep | 0 → 1 |
| 83655 | Li, Walter Lig-Ming | 20212002 | IsPrimaryDep | 1 → 0 |
| 83655 | Li, Walter Lig-Ming | 9010045 | IsPrimaryDep | 0 → 1 |
| 026732255 | Maheshwari, Julia Ann | 1100029 | IsPrimaryDep | 1 → 0 |
| 026732255 | Maheshwari, Julia Ann | 1100148 | IsPrimaryDep | 0 → 1 |
| 152601 | Mccallum, Molly Elise | 1100030 | IsPrimaryDep | 0 → 1 |
| 152601 | Mccallum, Molly Elise | 1100038 | IsPrimaryDep | 1 → 0 |
| 156669 | Mickelson, Julia | 1100065 | IsPrimaryDep | 0 → 1 |
| 156669 | Mickelson, Julia | 5305015 | IsPrimaryDep | 1 → 0 |
| 027583137 | Newman, Blair | 20206013 | Provider Name | Newman, Blair Rae → Newman, Blair |
| 027583137 | Newman, Blair | 20206013 | Title | LCSW → |
| 029341575 | Parisi, Jenna | 20206046 | Title | LCSW → |
| 147578 | Pico, Michael J | 1100018 | IsPrimaryDep | 1 → 0 |
| 147578 | Pico, Michael J | 9010108 | IsPrimaryDep | 0 → 1 |
| 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 | 0 → 1 |
| 151635 | Ramadas, Ramya | 20208001 | IsPrimaryDep | 1 → 0 |
| 121019 | Reid, Brooke I | 2040001 | IsPrimaryDep | 1 → 0 |
| 121019 | Reid, Brooke I | 9010135 | IsPrimaryDep | 0 → 1 |
| 025906512 | Rennels, Carolyn Forsyth | 5201198 | IsPrimaryDep | 1 → 0 |
| 025906512 | Rennels, Carolyn Forsyth | 5201316 | IsPrimaryDep | 0 → 1 |
| 117237 | Rosen, Clark Alan | 2040014 | IsPrimaryDep | 1 → 0 |
| 117237 | Rosen, Clark Alan | 5201526 | IsPrimaryDep | 0 → 1 |
| 50486 | Schroeder, Nicole | 3010005 | IsPrimaryDep | 1 → 0 |
| 50486 | Schroeder, Nicole | 5601089 | IsPrimaryDep | 0 → 1 |
| 026173559 | Sewald, Cassie Anne | 6901001 | NPI | → 1851104129 |
| 026173559 | Sewald, Cassie Anne | 6901001 | Provider Name | Sewald, Cassie → Sewald, Cassie Anne |
| 026173559 | Sewald, Cassie Anne | 6901001 | Provider Gender | → Female |
| 026173559 | Sewald, Cassie Anne | 6901001 | Title | RN → CNM |
| 75975 | Sherman, Courtney Beth | 5201083 | IsPrimaryDep | 1 → 0 |
| 75975 | Sherman, Courtney Beth | 5201465 | IsPrimaryDep | 0 → 1 |
| 112327 | Soni, Anand V | 5601010 | IsPrimaryDep | 0 → 1 |
| 112327 | Soni, Anand V | 5601037 | IsPrimaryDep | 1 → 0 |
| 94592 | Stewart, Ray E | 20206019 | IsPrimaryDep | 0 → 1 |
| 94592 | Stewart, Ray E | 5201072 | IsPrimaryDep | 1 → 0 |
| 83577 | Theologis, Alexander Antonios | 1100125 | IsPrimaryDep | 1 → 0 |
| 83577 | Theologis, Alexander Antonios | 9010157 | IsPrimaryDep | 0 → 1 |
| 124702 | Tummala, Sirisha Krishna | 50102002 | IsPrimaryDep | 0 → 1 |
| 124702 | Tummala, Sirisha Krishna | 9010184 | IsPrimaryDep | 1 → 0 |
| 158249 | Turkiewicz, Joanna Victoria | 1100030 | IsPrimaryDep | 0 → 1 |
| 158249 | Turkiewicz, Joanna Victoria | 1100073 | IsPrimaryDep | 1 → 0 |
| 020974663 | Tward, Aaron Daniel | 2060009 | IsPrimaryDep | 0 → 1 |
| 020974663 | Tward, Aaron Daniel | 5201555 | IsPrimaryDep | 1 → 0 |
| 108059 | Virbalas, Jordan Michael | 20206043 | IsPrimaryDep | 0 → 1 |
| 108059 | Virbalas, Jordan Michael | 20212004 | IsPrimaryDep | 1 → 0 |
| 029766904 | Wagstaff, Amanda | 5201121 | Provider Name | Wagstaff, Amanda E. → Wagstaff, Amanda |
| 029766904 | Wagstaff, Amanda | 5201121 | Title | PhD → |
| 026634733 | Weber, Robert Joseph | 1100074 | IsPrimaryDep | 0 → 1 |
| 026634733 | Weber, Robert Joseph | 9010360 | IsPrimaryDep | 1 → 0 |
| 68358 | Winnicki, Erica Durieux | 20206025 | IsPrimaryDep | 0 → 1 |
| 68358 | Winnicki, Erica Durieux | 5201041 | IsPrimaryDep | 1 → 0 |
| 115626 | Witt Gaspard, Leah Jean | 1100029 | IsPrimaryDep | 0 → 1 |
| 115626 | Witt Gaspard, Leah Jean | 2040012 | IsPrimaryDep | 1 → 0 |
| 029009271 | Wystrach, Lia A. | 5601001 | Provider Name | Wystrach, Lia Armstrong → Wystrach, Lia A. |