| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 140859 | Adebiyi, Ololade | 1912647504 | 5201449 | PSYCH AUTISM PRITZKER | 0 |
| 10004013 | Ancillary, Wc Audiologist | 20212026 | BCH OAK WC AUDIOLOGY | 1 | |
| 126155 | Bayne, Joseph | 1316301179 | 5201108 | CARD PACT MB | 0 |
| 50000522 | Bsc Faxitron, | 9010244 | RAD X-RAY BOPC | 1 | |
| 141247 | Burns, Abigail Rachel | 1053708602 | 2050006 | OBGYN MZ 5 | 1 |
| 141247 | Burns, Abigail Rachel | 1053708602 | 2050007 | OBGYN MZ 6 | 0 |
| 141247 | Burns, Abigail Rachel | 1053708602 | 5201491 | OBGYN MZ 8 | 0 |
| 151596 | Chawla, Rachit | 1225489065 | 6800001 | CC UBCP ALMADEN PEDIATRICS SAN JOSE | 0 |
| 022080543 | Chen, Caroline | 3202001 | SOD PED DENT PARN | 0 | |
| 148040 | Chew Murphy, Emma Ying | 1073074100 | 5201032 | OB MISSION BAY | 0 |
| 131579 | Dailey, Anna Teresa | 1396372553 | 9010257 | PRIMARY CARE CB WATER | 1 |
| 025035569 | Elghandour, Selsabeel | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 160458 | Escobar, Alexander | 1912777418 | 5601083 | MH ORTHO SRF | 1 |
| 52030 | Fong, Sherina Juanita | 1538455993 | 5201395 | PED REHAB PM&R MB | 0 |
| 151254 | Fung, Simon Sheung Man | 1194215665 | 5201311 | OPHTH REFRAC SURG MB 490 | 0 |
| 136343 | Goronga, Faith Paidamoyo | 1245734268 | 20205090 | BCH OAK FETAL TREATMENT CTR | 1 |
| 025444589 | Grandi, Janice | 1174273361 | 9020565 | CARE AT HOME | 0 |
| 147782 | Hage, Rabih | 1881461036 | 5201303 | OPHTH NEURO OP MB 490 FL3 | 0 |
| 022040943 | Inadomi, Julianne | 3202015 | SOD GEN DENT PRE-D CDC | 0 | |
| 147050 | Joseph, Emmanuel A | 1851974091 | 5201448 | PSYCH TMS PRITZKER | 0 |
| 102816 | Laffan, Angela Mary | 1710044482 | 5201536 | CANCER DIAGNOSTICS MB4 | 0 |
| 025595562 | Madrigal, Deyanira | 7101002 | BTBH SCHEDULING | 1 | |
| 58517 | Miller, Jennifer Anne | 1104854355 | 20208001 | BCH OAK FQ TEEN | 0 |
| 58517 | Miller, Jennifer Anne | 1104854355 | 20210001 | BCH OAK FQ CAST HIGH SCHOOL | 1 |
| 58517 | Miller, Jennifer Anne | 1104854355 | 20211001 | BCH OAK FQ MCC HIGH SCHOOL | 0 |
| 026925420 | Moore, Jennifer Kate | 1013308469 | 7101002 | BTBH SCHEDULING | 0 |
| 1007010 | New Patient Coordinator - Cardiac Surgery, | 1100043 | CARD SURG PARN | 1 | |
| 025715533 | Norimoto, Pearl Gillian | 8001060 | SFH OP OT | 1 | |
| 027134519 | Obanni, Hannah | 1982373643 | 7001000 | CC UBCP HILLTOP PEDS | 0 |
| 028162071 | Oemcke, Lauren | 5801034 | MHMC BRADEN CENTER | 1 | |
| 028357325 | Oryn, Jennifer | 7101011 | BTBH PEDS PALLIATIVE | 1 | |
| 51470 | Patel, Hitendra Thakorbhai | 1073501573 | 4060004 | PED CARD MARIN | 0 |
| 10008438 | Pft 2nd Room, | 5320001 | PED PF MB | 1 | |
| 10002037 | Prepare Mb Np 7, | 5312002 | PREPARE MB | 1 | |
| 82776 | Reddy, Sanjay | 1447206644 | 3010029 | EXEC HEALTH MB | 1 |
| 024116949 | Richman, Jessica | 5601008 | MH BRST SURG OB/GYN GB | 1 | |
| 117045 | Saunders, Ramotse | 1609801059 | 5503002 | PSYCH IOP MZ ADULT | 1 |
| 028097467 | Schulz, Abuon | 7101002 | BTBH SCHEDULING | 1 | |
| 47665 | Shimotake, Janet C | 1598850950 | 9010223 | PED PRIM NEONAT SANTA ROSA | 1 |
| 156108 | Tanenbaum, Rebecca Elyse | 1225610462 | 5201057 | OPHTH PED MB | 1 |
| 10008313 | Video Eeg Tech, | 1000202 | NEURODIAGNOSTIC SERVICES | 1 | |
| 105302 | Wolbers, Linda Lee | 1093753899 | 50100048 | PAIN MED SANTA CRUZ ND | 0 |
| 026606376 | Yepes Correa, Edgar Adrian | 1124650528 | 5201443 | PSYCH EMBED FM LAKES | 0 |
| 024505687 | Zhang, Zi Yue | 3202015 | SOD GEN DENT PRE-D CDC | 0 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 10002878 | Achd Provider, | 5201108 | CARD PACT MB | 1 | |
| 10007548 | Ahf Vad App, | 5201470 | ADVANCED HEART FAIL PARN | 1 | |
| 10005252 | Ahu - 02 Dialysis Out Of Unit, | 1000059 | HEMODIALYSIS PARN | 1 | |
| 10005253 | Ahu - 03 Dialysis Out Of Unit, | 1000059 | HEMODIALYSIS PARN | 1 | |
| 10005254 | Ahu - 04 Dialysis Out Of Unit, | 1000059 | HEMODIALYSIS PARN | 1 | |
| 10005255 | Ahu - 05 Dialysis Out Of Unit, | 1000059 | HEMODIALYSIS PARN | 1 | |
| 10005256 | Ahu - 06 Dialysis Out Of Unit, | 1000059 | HEMODIALYSIS PARN | 1 | |
| 142464 | Anglin, Amy Patricia | 1386211076 | 7500000 | CC UBCP TRIVLY PED PLS | 0 |
| 022408934 | Baldwin, Tim | 3010002 | ORTHOTIC & PROS OI | 0 | |
| 109698 | Bystritsky, Rachel | 1194081984 | 5201570 | ID ORTHO MSK MB | 0 |
| 158291 | Cappos, George Nicholas | 1558943829 | 1100053 | EPILEPSY PARN | 1 |
| 028040475 | D'fonseca, Kristi | 1100167 | KIDNEY SRG TR PRE PARN 7 | 1 | |
| 26293 | Dicker, Rochelle A | 1396703617 | 1100047 | SURGERY PARN | 1 |
| 155477 | Ding, Xin | 1134881253 | 3010009 | ORTHO SPORTS MB | 1 |
| 10007463 | E7f - Ucbeye Cl Mh, | 6100003 | CC UCBEYE CONTACT LENS MH | 1 | |
| 10007464 | E8f - Ucbeye Cl Mh, | 6100003 | CC UCBEYE CONTACT LENS MH | 1 | |
| 025988601 | Eijansantos, Emily Ann | 1629770516 | 1100057 | NEURO PARN | 1 |
| 57543 | Fujimoto, Victor Yutaka | 1598704140 | 5202007 | REPRO PROCEDURE CTR MB | 0 |
| 029554797 | Harris, Juliette | 9105001 | CC UBCP SILICON VALLEY MFM | 1 | |
| 111304 | Ippoliti, Simone Rica | 1528514981 | 20228001 | BCH OAK BERT | 0 |
| 133792 | Kaufmann, Carrie Ann | 1164513321 | 6600004 | CC UBCP ALLERGY AND ASTHMA ASSOCIATES GILROY | 0 |
| 154143 | Khairallah, Pascale | 1891100822 | 9010182 | KIDNEY TR POST FRESNO TNG | 0 |
| 72569 | Levy, Jennifer Ann | 1619934692 | 20206014 | BCH OAK OPC CDC NEONAT FU | 1 |
| 10009278 | Ma - Cc Ubcp Obgyn Doctors Of Silicon Valley, | 6900001 | CC UBCP OBGYN DOCTORS OF SILICON VALLEY | 1 | |
| 109674 | Mcevoy, Katherine Ann | 1952611469 | 3010009 | ORTHO SPORTS MB | 1 |
| 10002332 | Nurse Peds Specialties, | 5201051 | PED HEART MB | 1 | |
| 10007503 | Nurse, Bch Oak Pedi Rehab | 20206006 | BCH OAK OPC PEDI REHAB | 1 | |
| 026608497 | Orozco, Veronica | 20206025 | BCH OAK OPC NEPHROLOGY | 1 | |
| 146595 | Patberg, Elizabeth Toulson | 1881014983 | 20205090 | BCH OAK FETAL TREATMENT CTR | 0 |
| 141174 | Patterson, Eleanor Holmes | 1225779945 | 20208001 | BCH OAK FQ TEEN | 1 |
| 10005449 | Pdu - Ip 01, | 5201064 | PED DIALYSIS MB | 1 | |
| 10005527 | Pdu - Ip 02, | 5201064 | PED DIALYSIS MB | 1 | |
| 10005528 | Pdu - Ip 03, | 5201064 | PED DIALYSIS MB | 1 | |
| 160461 | Pham, Tran Duy | 1942993571 | 9300004 | CC CIP CAL PAC ORTHO SR | 0 |
| 025693193 | Phillips, Bree | 5201041 | PED RENAL MB | 1 | |
| 25931 | Rabow, Michael W. | 1801848833 | 5201197 | SYMPTOM MGMNT MB 3 | 0 |
| 023907926 | Ransohoff, Amy | 1477134260 | 2050007 | OBGYN MZ 6 | 0 |
| 96382 | Richie, Megan Bye | 1871811968 | 1100057 | NEURO PARN | 1 |
| 136237 | Ross, Katherine Salome | 1649831496 | 5201193 | CANCER GENETICS MB 3 | 0 |
| 154427 | Schwab, Marcus | 1609503861 | 9300002 | CC CIP CAL PAC ORTHO CLINIC 516 | 0 |
| 10008125 | Sfomg Sut Oto Slp, | 7900000 | CC CIP SFOMG SUT OTO | 1 | |
| 10002078 | Social Work Intern Positive Health, | 1090021 | 360 POSITIVE HEALTH | 1 | |
| 108791 | Srinivasan, Shylaja Durga | 1336415314 | 5201036 | PED ENDO MB | 0 |
| 028977007 | Tangtiphaiboontana, Jennifer | 1497190177 | 9010261 | ORTHO SAN JOSE | 1 |
| 158249 | Turkiewicz, Joanna Victoria | 1396323648 | 1100030 | DIAB PARN | 1 |
| 158249 | Turkiewicz, Joanna Victoria | 1396323648 | 1100073 | ENDO PARN | 0 |
| 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 |
| 122541 | Anderson, Allison Young | 8600001 | IsPrimaryDep | 0 → 1 |
| 122541 | Anderson, Allison Young | 8600002 | IsPrimaryDep | 1 → 0 |
| 158263 | Beeson, Erynn Anne | 5201199 | IsPrimaryDep | 1 → 0 |
| 158263 | Beeson, Erynn Anne | 5201316 | IsPrimaryDep | 0 → 1 |
| 97995 | Besson, Deborah Chen | 2050009 | IsPrimaryDep | 1 → 0 |
| 97995 | Besson, Deborah Chen | 2050020 | IsPrimaryDep | 0 → 1 |
| 133016 | Bhasin, Neha | 20206041 | IsPrimaryDep | 1 → 0 |
| 133016 | Bhasin, Neha | 20212043 | IsPrimaryDep | 0 → 1 |
| 022858922 | Chan, Ericka | 7101002 | Title | LVN → RN |
| 151311 | Chandrashekhar, Swathy | 5201487 | IsPrimaryDep | 0 → 1 |
| 151311 | Chandrashekhar, Swathy | 9010233 | IsPrimaryDep | 1 → 0 |
| 107404 | Cheng, Philip Yu-Shyang | 20225001 | IsPrimaryDep | 1 → 0 |
| 107404 | Cheng, Philip Yu-Shyang | 9010049 | IsPrimaryDep | 0 → 1 |
| 029384732 | Choi, Eunjung | 9010202 | IsPrimaryDep | 0 → 1 |
| 029384732 | Choi, Eunjung | 9010204 | IsPrimaryDep | 1 → 0 |
| 109763 | Cil, Onur | 5201041 | IsPrimaryDep | 0 → 1 |
| 109763 | Cil, Onur | 5201177 | IsPrimaryDep | 1 → 0 |
| 155263 | Dart, Cara N | 5309022 | IsPrimaryDep | 1 → 0 |
| 155263 | Dart, Cara N | 5309046 | IsPrimaryDep | 0 → 1 |
| 58708 | Davis, Mary N | 5601003 | IsPrimaryDep | 1 → 0 |
| 58708 | Davis, Mary N | 5601038 | IsPrimaryDep | 0 → 1 |
| 025783739 | De Borja, Dennis | 8001058 | Provider Gender | → Male |
| 111686 | Gallagher, Theresa Lee | 7900005 | IsPrimaryDep | 0 → 1 |
| 111686 | Gallagher, Theresa Lee | 7900042 | IsPrimaryDep | 1 → 0 |
| 157809 | Grusky, Alan Zhang | 5201091 | IsPrimaryDep | 1 → 0 |
| 157809 | Grusky, Alan Zhang | 9010257 | IsPrimaryDep | 0 → 1 |
| 151938 | Harris, Olivia Mcvay | 2050006 | IsPrimaryDep | 0 → 1 |
| 151938 | Harris, Olivia Mcvay | 2050021 | IsPrimaryDep | 1 → 0 |
| 57588 | Hebshi, Leila D. | 20206029 | IsPrimaryDep | 0 → 1 |
| 57588 | Hebshi, Leila D. | 2040019 | IsPrimaryDep | 1 → 0 |
| 020543260 | Higgins, Brennan Vail | 5201060 | Provider Name | Higgins, Brennan → Higgins, Brennan Vail |
| 020543260 | Higgins, Brennan Vail | 5201517 | Provider Name | Higgins, Brennan → Higgins, Brennan Vail |
| 42978 | Holt, Elizabeth Hopkins | 2000082 | IsPrimaryDep | 0 → 1 |
| 42978 | Holt, Elizabeth Hopkins | 5201521 | IsPrimaryDep | 1 → 0 |
| 123263 | Jensen, Aaron Ross | 20206036 | IsPrimaryDep | 0 → 1 |
| 123263 | Jensen, Aaron Ross | 9010107 | IsPrimaryDep | 1 → 0 |
| 153087 | Joyce, Mercy | 20206046 | IsPrimaryDep | 1 → 0 |
| 153087 | Joyce, Mercy | 5201042 | IsPrimaryDep | 0 → 1 |
| 109245 | Kan, Matthew K. | 5201038 | Provider Name | Kan, Matthew → Kan, Matthew K. |
| 57802 | Keeffe, Brian G | 5601037 | IsPrimaryDep | 1 → 0 |
| 57802 | Keeffe, Brian G | 5601087 | IsPrimaryDep | 0 → 1 |
| 027203827 | Kelly, Catherine | 6002108 | IsPrimaryDep | 0 → 1 |
| 027203827 | Kelly, Catherine | 8001035 | IsPrimaryDep | 1 → 0 |
| 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 |
| 47784 | Koliwad, Suneil Krishna | 1100030 | IsPrimaryDep | 1 → 0 |
| 47784 | Koliwad, Suneil Krishna | 1100035 | IsPrimaryDep | 0 → 1 |
| 128624 | Lee, Dong-Heun | 1090021 | IsPrimaryDep | 1 → 0 |
| 128624 | Lee, Dong-Heun | 1100034 | IsPrimaryDep | 0 → 1 |
| 104182 | Lee, Janet Yi Man | 5201036 | IsPrimaryDep | 1 → 0 |
| 104182 | Lee, Janet Yi Man | 5201572 | IsPrimaryDep | 0 → 1 |
| 144942 | Lee, Matthew Hyun Joon | 50102002 | IsPrimaryDep | 0 → 1 |
| 144942 | Lee, Matthew Hyun Joon | 9010185 | IsPrimaryDep | 1 → 0 |
| 028125441 | Lee, Ye Sung | 8001059 | NPI | → 1487329264 |
| 028125441 | Lee, Ye Sung | 8001059 | Provider Gender | → Female |
| 028125441 | Lee, Ye Sung | 8001059 | Title | SLP → |
| 60248 | Leon, Rebecca Chung-Yan | 5201541 | IsPrimaryDep | 0 → 1 |
| 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 |
| 029688413 | Luk, Lauren J | 7900000 | IsPrimaryDep | 0 → 1 |
| 029688413 | Luk, Lauren J | 7900074 | IsPrimaryDep | 1 → 0 |
| 026732255 | Maheshwari, Julia Ann | 1100029 | IsPrimaryDep | 0 → 1 |
| 026732255 | Maheshwari, Julia Ann | 1100148 | IsPrimaryDep | 1 → 0 |
| 022936462 | Manthripragada, Anuradha | 20206038 | Provider Name | Manthripragada, Anuradha R → Manthripragada, Anuradha |
| 149033 | Maroney, Sean | 5601018 | IsPrimaryDep | 1 → 0 |
| 149033 | Maroney, Sean | 5601034 | IsPrimaryDep | 0 → 1 |
| 132264 | Maxwell, Sarah Levkoff | 5201040 | IsPrimaryDep | 0 → 1 |
| 132264 | Maxwell, Sarah Levkoff | 5201142 | IsPrimaryDep | 1 → 0 |
| 152601 | Mccallum, Molly Elise | 1100030 | IsPrimaryDep | 1 → 0 |
| 152601 | Mccallum, Molly Elise | 1100038 | IsPrimaryDep | 0 → 1 |
| 50000324 | Mhmc Moic Sson1, | 5801089 | Phone | 415-461-7770 → 415-925-7301 |
| 50000326 | Mhmc Moic Sson2, | 5801089 | Phone | 415-461-7770 → 415-925-7301 |
| 50000325 | Mhmc Moic Sson3, | 5801089 | Phone | 415-461-7770 → 415-925-7301 |
| 50000417 | Mhmc Novato Us1, | 5801971 | Phone | 415-461-7770 → 415-925-7301 |
| 50000418 | Mhmc Petaluma Us, | 5801976 | Phone | → 415-925-7301 |
| 50000405 | Mhmc Rad Ortho Lk Mr, | 5801966 | Phone | 415-526-8775 → 415-925-7301 |
| 156669 | Mickelson, Julia | 1100065 | IsPrimaryDep | 1 → 0 |
| 156669 | Mickelson, Julia | 5305015 | IsPrimaryDep | 0 → 1 |
| 025920786 | Ortega, Cynthia | 7101002 | Provider Name | Ortega, Cynthia Sarmiento → Ortega, Cynthia |
| 025920786 | Ortega, Cynthia | 7101002 | Title | HHA → |
| 028357325 | Oryn, Jennifer | 7101002 | IsPrimaryDep | 1 → 0 |
| 136045 | Padgett, Tyler Bradford | 5201091 | IsPrimaryDep | 1 → 0 |
| 136045 | Padgett, Tyler Bradford | 9010257 | IsPrimaryDep | 0 → 1 |
| 92207 | Peyvandi, Shabnam | 4060011 | IsPrimaryDep | 0 → 1 |
| 92207 | Peyvandi, Shabnam | 5201051 | IsPrimaryDep | 1 → 0 |
| 147578 | Pico, Michael J | 1100018 | IsPrimaryDep | 0 → 1 |
| 147578 | Pico, Michael J | 9010108 | IsPrimaryDep | 1 → 0 |
| 10000320 | Post Transplant Md, | 9010182 | IsPrimaryDep | 1 → 0 |
| 10000320 | Post Transplant Md, | 9040048 | IsPrimaryDep | 0 → 1 |
| 87089 | Qasim, Atif Nazier | 3050001 | IsPrimaryDep | 0 → 1 |
| 87089 | Qasim, Atif Nazier | 5201513 | IsPrimaryDep | 1 → 0 |
| 115013 | Qiu, Bo | 20206026 | IsPrimaryDep | 1 → 0 |
| 115013 | Qiu, Bo | 5201049 | IsPrimaryDep | 0 → 1 |
| 151635 | Ramadas, Ramya | 20207003 | IsPrimaryDep | 1 → 0 |
| 151635 | Ramadas, Ramya | 20208001 | IsPrimaryDep | 0 → 1 |
| 100384 | Rapoport, Rebecca Erin | 9010050 | IsPrimaryDep | 1 → 0 |
| 100384 | Rapoport, Rebecca Erin | 9010110 | IsPrimaryDep | 0 → 1 |
| 121019 | Reid, Brooke I | 2040001 | IsPrimaryDep | 0 → 1 |
| … and 54 more modifications | ||||