| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 146729 | Betancourt, Megan Elizabeth | 1891498499 | 2030004 | GEN MED MZ 1701 | 1 |
| 159098 | Flesher, Margaret Ann | 1316464720 | 2050006 | OBGYN MZ 5 | 0 |
| 020306346 | Kenyon, Carly | 1144602491 | 4060011 | PDC MARIN | 0 |
| 146744 | Khambouneheuang, Lucky | 1275201006 | 2110001 | GEN MED MZ 1545 1 | 1 |
| 149013 | Villalta, Genesee Maylee | 1851023410 | 7027001 | CC UBCP FAMILY MED SC | 1 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 023685456 | Alvarado, Kaitlyne | 3202002 | SOD GEN DENT PRE-D PARN | 1 | |
| 140024 | Ashley, Phoebe Anne | 1740288901 | 3050001 | CARD MB | 0 |
| 153294 | Auerbach, Patricia Christina | 1447207659 | 1100005 | URGENT CARE PARN | 1 |
| 152696 | Cavanaugh, Morgan | 1932960986 | 9300004 | CC CIP CAL PAC ORTHO SR | 0 |
| 026362012 | Danaher, Anne | 3202002 | SOD GEN DENT PRE-D PARN | 1 | |
| 026512673 | Espinoza, Mia | 3202002 | SOD GEN DENT PRE-D PARN | 1 | |
| 157814 | Fett, Bryton | 1144024324 | 2050007 | OBGYN MZ 6 | 1 |
| 020331963 | Fogel, Alexis Hannah | 1609338730 | 20206053 | BCH OAK STAD CENTER PED PAIN, PALLIATIVE & INTEGRATIVE MEDICINE | 0 |
| 143102 | Gomes, Gabriela | 1750999009 | 2050009 | WOMENS HEALTH MZ | 0 |
| 121658 | Grandhe, Sirisha | 1487032355 | 5601076 | MH GASTRO MED CTR GB | 0 |
| 88514 | Heublein, Molly Rebecca | 1720211279 | 2050020 | WOMENS HEALTH MZ3 | 0 |
| 47784 | Koliwad, Suneil Krishna | 1225006687 | 9010360 | ENDO SAN MATEO | 0 |
| 025053273 | Negash, Krubeal | 3202002 | SOD GEN DENT PRE-D PARN | 1 | |
| 024388050 | Nguyen, Keira | 3202002 | SOD GEN DENT PRE-D PARN | 1 | |
| 10005488 | Pdc Exam Room 99, | 5201031 | PDC MB | 1 | |
| 025854365 | Qin, Judy | 3202002 | SOD GEN DENT PRE-D PARN | 1 | |
| 028568855 | Rabea, Ahmed | 3202016 | SOD INT PATHWAY PARN | 1 | |
| 022704654 | Radwan, Mariam | 3202002 | SOD GEN DENT PRE-D PARN | 1 | |
| 027142991 | Shah, Mansi | 3202002 | SOD GEN DENT PRE-D PARN | 1 | |
| 025841966 | Sherif, Walid | 1760946750 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 120484 | Soe, Myat Han | 1962757914 | 9010360 | ENDO SAN MATEO | 0 |
| 10001966 | Vasc Tech Phc, | 1000057 | VASCULAR LAB PERIPH | 1 | |
| 122175 | Vissa, Madhav | 1174941991 | 20212046 | BCH OAK WC ADULT SICKLE CELL | 0 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 153933 | Bergstrom, Anna L | 5309015 | IsPrimaryDep | 0 → 1 |
| 153933 | Bergstrom, Anna L | 5309030 | IsPrimaryDep | 1 → 0 |
| 51713 | Brook, Michael M | 4060004 | IsPrimaryDep | 0 → 1 |
| 51713 | Brook, Michael M | 9010217 | IsPrimaryDep | 1 → 0 |
| 024414534 | Browning, Ashlie Nicole | 9010194 | IsPrimaryDep | 1 → 0 |
| 024414534 | Browning, Ashlie Nicole | 9010195 | IsPrimaryDep | 0 → 1 |
| 131870 | Casillas Jr., Ernesto | 5201109 | IsPrimaryDep | 0 → 1 |
| 131870 | Casillas Jr., Ernesto | 9010347 | IsPrimaryDep | 1 → 0 |
| 151311 | Chandrashekhar, Swathy | 5201487 | IsPrimaryDep | 1 → 0 |
| 151311 | Chandrashekhar, Swathy | 9010233 | IsPrimaryDep | 0 → 1 |
| 025794272 | Cheng, Kristi | 1100037 | IsPrimaryDep | 0 → 1 |
| 025794272 | Cheng, Kristi | 5321004 | IsPrimaryDep | 1 → 0 |
| 027058585 | Cuaresma, Clarice | 7101004 | IsPrimaryDep | 1 → 0 |
| 027058585 | Cuaresma, Clarice | 7102004 | IsPrimaryDep | 0 → 1 |
| 22603 | De Marco, Teresa | 5201461 | IsPrimaryDep | 0 → 1 |
| 22603 | De Marco, Teresa | 5201470 | IsPrimaryDep | 1 → 0 |
| 114722 | Desai, Tina R | 5601004 | IsPrimaryDep | 0 → 1 |
| 114722 | Desai, Tina R | 5601035 | IsPrimaryDep | 1 → 0 |
| 141881 | El Chaki, Rim | 20206025 | IsPrimaryDep | 1 → 0 |
| 141881 | El Chaki, Rim | 9010224 | IsPrimaryDep | 0 → 1 |
| 151222 | Gu, Hannah | 5201517 | IsPrimaryDep | 1 → 0 |
| 151222 | Gu, Hannah | 9010110 | IsPrimaryDep | 0 → 1 |
| 42978 | Holt, Elizabeth Hopkins | 2000082 | IsPrimaryDep | 1 → 0 |
| 42978 | Holt, Elizabeth Hopkins | 5201521 | IsPrimaryDep | 0 → 1 |
| 145961 | Jeno, Mary Elizabeth | 20206011 | IsPrimaryDep | 0 → 1 |
| 145961 | Jeno, Mary Elizabeth | 20212008 | IsPrimaryDep | 1 → 0 |
| 104110 | Kohn, Lucinda | 5601093 | IsPrimaryDep | 0 → 1 |
| 104110 | Kohn, Lucinda | 5601094 | IsPrimaryDep | 1 → 0 |
| 020829636 | Lalchandani, Gopal Ram | 20212012 | IsPrimaryDep | 0 → 1 |
| 020829636 | Lalchandani, Gopal Ram | 3010005 | IsPrimaryDep | 1 → 0 |
| 69840 | Laroque, Elly Susannah | 3010009 | IsPrimaryDep | 1 → 0 |
| 69840 | Laroque, Elly Susannah | 9010279 | IsPrimaryDep | 0 → 1 |
| 76536 | Lawson, Erica Freeman | 20206046 | IsPrimaryDep | 0 → 1 |
| 76536 | Lawson, Erica Freeman | 5201042 | IsPrimaryDep | 1 → 0 |
| 43818 | Leard, Lorriana Elizabeth | 1100118 | IsPrimaryDep | 1 → 0 |
| 43818 | Leard, Lorriana Elizabeth | 1100148 | IsPrimaryDep | 0 → 1 |
| 026732255 | Maheshwari, Julia Ann | 1100029 | IsPrimaryDep | 1 → 0 |
| 026732255 | Maheshwari, Julia Ann | 1100148 | IsPrimaryDep | 0 → 1 |
| 145275 | Mann, Douglas G. | 7900000 | IsPrimaryDep | 1 → 0 |
| 145275 | Mann, Douglas G. | 7900003 | IsPrimaryDep | 0 → 1 |
| 45265 | Park, Michael Kwansup | 1100018 | IsPrimaryDep | 0 → 1 |
| 45265 | Park, Michael Kwansup | 9010140 | IsPrimaryDep | 1 → 0 |
| 132788 | Radin, Rachel Miller | 5201446 | IsPrimaryDep | 0 → 1 |
| 132788 | Radin, Rachel Miller | 5201452 | IsPrimaryDep | 1 → 0 |
| 121369 | Rasool, Nailyn | 5201303 | IsPrimaryDep | 1 → 0 |
| 121369 | Rasool, Nailyn | 5201381 | IsPrimaryDep | 0 → 1 |
| 026545012 | Ray, Jordan | 5201054 | IsPrimaryDep | 0 → 1 |
| 026545012 | Ray, Jordan | 5201119 | IsPrimaryDep | 1 → 0 |
| 029952454 | Rice, Rebecca | 20207003 | Title | LCSW → |
| 117237 | Rosen, Clark Alan | 2040014 | IsPrimaryDep | 1 → 0 |
| 117237 | Rosen, Clark Alan | 5201526 | IsPrimaryDep | 0 → 1 |
| 85204 | Ross, Javay Monique | 20207003 | IsPrimaryDep | 1 → 0 |
| 85204 | Ross, Javay Monique | 89000000 | IsPrimaryDep | 0 → 1 |
| 027606060 | Samelson-Jones, Emma C. | 5201436 | IsPrimaryDep | 0 → 1 |
| 027606060 | Samelson-Jones, Emma C. | 5201578 | IsPrimaryDep | 1 → 0 |
| 025841966 | Sherif, Walid | 20208001 | IsPrimaryDep | 0 → 1 |
| 75975 | Sherman, Courtney Beth | 5201083 | IsPrimaryDep | 1 → 0 |
| 75975 | Sherman, Courtney Beth | 5201465 | IsPrimaryDep | 0 → 1 |
| 76204 | Singh, Kabir J | 5601010 | IsPrimaryDep | 1 → 0 |
| 76204 | Singh, Kabir J | 5601037 | IsPrimaryDep | 0 → 1 |
| 112327 | Soni, Anand V | 5601010 | IsPrimaryDep | 0 → 1 |
| 112327 | Soni, Anand V | 5601037 | IsPrimaryDep | 1 → 0 |
| 109176 | Tobler, Diana L | 5601010 | IsPrimaryDep | 0 → 1 |
| 109176 | Tobler, Diana L | 5601023 | IsPrimaryDep | 1 → 0 |
| 124702 | Tummala, Sirisha Krishna | 50102002 | IsPrimaryDep | 0 → 1 |
| 124702 | Tummala, Sirisha Krishna | 9010184 | IsPrimaryDep | 1 → 0 |
| 103989 | Venado Estrada, Aida Adriana | 1100118 | IsPrimaryDep | 0 → 1 |
| 103989 | Venado Estrada, Aida Adriana | 5201136 | IsPrimaryDep | 1 → 0 |
| 153851 | Walsh, Nathan | 2060006 | IsPrimaryDep | 0 → 1 |
| 153851 | Walsh, Nathan | 5201525 | IsPrimaryDep | 1 → 0 |
| 40237 | Wick, Elizabeth C | 5201028 | IsPrimaryDep | 1 → 0 |
| 40237 | Wick, Elizabeth C | 5201412 | IsPrimaryDep | 0 → 1 |