| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 026540898 | Ballarin, Daniel Antonio | 9010287 | ORTHOTIC & PROS RWS | 0 | |
| 133016 | Bhasin, Neha | 1730350125 | 20206023 | BCH OAK OPC GENERAL HEMATOLOGY | 0 |
| 154701 | Bouton, Lauren Katharine Ebe | 1134411861 | 4900001 | CC UBCP EAST BAY PEDS MED GRP BERKELEY | 1 |
| 154701 | Bouton, Lauren Katharine Ebe | 1134411861 | 4900002 | CC UBCP EAST BAY PEDS MED GRP ORINDA | 0 |
| 021719570 | Brambila, Daisy Flores | 1932950599 | 5201466 | GEN NEURO WEILL | 0 |
| 42557 | Damon, Juliana Lee | 1851484562 | 4900001 | CC UBCP EAST BAY PEDS MED GRP BERKELEY | 0 |
| 42557 | Damon, Juliana Lee | 1851484562 | 4900002 | CC UBCP EAST BAY PEDS MED GRP ORINDA | 1 |
| 44739 | Evans-Ramsey, Tracy Marie | 1811081508 | 4900001 | CC UBCP EAST BAY PEDS MED GRP BERKELEY | 1 |
| 10007127 | Gmv Mindfulness 1, | 2110005 | OSHER MZ | 0 | |
| 42805 | Handelsman, Sarah Cahn | 1578657045 | 4900001 | CC UBCP EAST BAY PEDS MED GRP BERKELEY | 1 |
| 42805 | Handelsman, Sarah Cahn | 1578657045 | 4900002 | CC UBCP EAST BAY PEDS MED GRP ORINDA | 0 |
| 117102 | Handler, Ted Alexander | 1184087645 | 4900001 | CC UBCP EAST BAY PEDS MED GRP BERKELEY | 0 |
| 117102 | Handler, Ted Alexander | 1184087645 | 4900002 | CC UBCP EAST BAY PEDS MED GRP ORINDA | 1 |
| 68344 | Hodges, Bethany K | 1891972055 | 4900001 | CC UBCP EAST BAY PEDS MED GRP BERKELEY | 1 |
| 68344 | Hodges, Bethany K | 1891972055 | 4900002 | CC UBCP EAST BAY PEDS MED GRP ORINDA | 0 |
| 127370 | Ivins, Barbara L | 1700083128 | 20241001 | BCH OAK BEH HEALTH &PSYCHIATRY | 0 |
| 152007 | Le, Linh Ngan | 1427330885 | 6101004 | CC UCBEYE SPORTS VISION EMV | 1 |
| 58517 | Miller, Jennifer Anne | 1104854355 | 4900002 | CC UBCP EAST BAY PEDS MED GRP ORINDA | 1 |
| 42625 | Oceguera, Lilia Rosa | 1407891278 | 4900002 | CC UBCP EAST BAY PEDS MED GRP ORINDA | 1 |
| 161531 | Osoria, Hector Luis | 1780071647 | 9300001 | CC CIP CAL PAC ORTHO CLINIC 108 | 0 |
| 57349 | Pickering, Courtney Wedl | 1053538363 | 4900001 | CC UBCP EAST BAY PEDS MED GRP BERKELEY | 0 |
| 57349 | Pickering, Courtney Wedl | 1053538363 | 4900002 | CC UBCP EAST BAY PEDS MED GRP ORINDA | 1 |
| 138600 | Prabhakar Bhat, Sangeeta | 1184117210 | 5201507 | ANTICOAG ACC | 1 |
| 10002032 | Prepare Mb Np 3, | 5312002 | PREPARE MB | 1 | |
| 124475 | Rambachan, Aksharananda | 1861883811 | 5201507 | ANTICOAG ACC | 1 |
| 026545012 | Ray, Jordan | 9010287 | ORTHOTIC & PROS RWS | 0 | |
| 128223 | Sampson, Joshua David | 1497098909 | 9300012 | CC CIP CAL PAC ORTHO CLINIC 707 | 0 |
| 62415 | Vo, Christina Shen-Shieh | 1598850562 | 4900002 | CC UBCP EAST BAY PEDS MED GRP ORINDA | 1 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 150697 | Ager, Emily Erickson | 1770105405 | 5201532 | URGENT CARE BAYFRONT | 1 |
| 120515 | Cheng, Katherine | 1366837338 | 9010075 | PED GI SAN MATEO | 0 |
| 136390 | Garber, Kent David | 1891114898 | 1100047 | SURGERY PARN | 1 |
| 107010 | Ghaffari, Neda | 1275761314 | 20205090 | BCH OAK FETAL TREATMENT CTR | 0 |
| 026813832 | Jahanzaib, Ali | 3202001 | SOD PED DENT PARN | 0 | |
| 023883234 | Kobasic, Krystal | 1100031 | DIAB TEACH PARN | 1 | |
| 020904231 | Leung, Yvette | 9010202 | CANCER CENTER BREAST SURG ONC BOPC | 1 | |
| 96826 | Liang, Juliana K | 1811144637 | 7022001 | CC UBCP LAUREL HEIGHTS PEDIATRIC AND ADOLESCENT CARE | 1 |
| 61971 | Lui, Andrew J. | 1609039908 | 5309018 | REHAB PT RHEUM PARN | 0 |
| 112929 | Mashinchi, Joseph Michael | 1184004913 | 20212012 | BCH OAK WC ORTHOPAEDICS | 0 |
| 152601 | Mccallum, Molly Elise | 1407336779 | 5201460 | ENDO BONE PARN | 0 |
| 027134519 | Obanni, Hannah | 1982373643 | 7001000 | CC UBCP HILLTOP PEDS | 0 |
| 025901562 | Ogunbayo, Olakunle | 3202002 | SOD GEN DENT PRE-D PARN | 0 | |
| 027587088 | Patkar, Abha | 3202001 | SOD PED DENT PARN | 0 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 54183 | Adler, Joshua S | 2030004 | IsPrimaryDep | 1 → 0 |
| 54183 | Adler, Joshua S | 3010029 | IsPrimaryDep | 0 → 1 |
| 025757626 | Avila, Rodrigo Enrique | 5503001 | IsPrimaryDep | 0 → 1 |
| 025757626 | Avila, Rodrigo Enrique | 5503002 | IsPrimaryDep | 1 → 0 |
| 133016 | Bhasin, Neha | 20206041 | IsPrimaryDep | 1 → 0 |
| 133016 | Bhasin, Neha | 20212043 | IsPrimaryDep | 0 → 1 |
| 34489 | Brakeman, Paul R | 20206025 | IsPrimaryDep | 0 → 1 |
| 34489 | Brakeman, Paul R | 5201041 | IsPrimaryDep | 1 → 0 |
| 51713 | Brook, Michael M | 4060004 | IsPrimaryDep | 1 → 0 |
| 51713 | Brook, Michael M | 9010217 | IsPrimaryDep | 0 → 1 |
| 131870 | Casillas Jr., Ernesto | 5201109 | IsPrimaryDep | 1 → 0 |
| 131870 | Casillas Jr., Ernesto | 9010347 | IsPrimaryDep | 0 → 1 |
| 59130 | Chee, Karen Giselle | 50102002 | IsPrimaryDep | 0 → 1 |
| 59130 | Chee, Karen Giselle | 9010184 | IsPrimaryDep | 1 → 0 |
| 125781 | Cobb-Walch, Abby Marie | 20206013 | IsPrimaryDep | 0 → 1 |
| 125781 | Cobb-Walch, Abby Marie | 5201531 | IsPrimaryDep | 1 → 0 |
| 027058585 | Cuaresma, Clarice | 7101004 | IsPrimaryDep | 0 → 1 |
| 027058585 | Cuaresma, Clarice | 7102004 | IsPrimaryDep | 1 → 0 |
| 105420 | Dewitt, Jocelyn Marie | 1100125 | IsPrimaryDep | 1 → 0 |
| 105420 | Dewitt, Jocelyn Marie | 3010020 | IsPrimaryDep | 0 → 1 |
| 120158 | Duarte, Maria Jose | 5201519 | IsPrimaryDep | 0 → 1 |
| 120158 | Duarte, Maria Jose | 5201534 | IsPrimaryDep | 1 → 0 |
| 122172 | Fedewa, Emily Sarah | 3050001 | IsPrimaryDep | 0 → 1 |
| 122172 | Fedewa, Emily Sarah | 5305015 | IsPrimaryDep | 1 → 0 |
| 159905 | Gadomski, Therese Elizabeth | 2050006 | IsPrimaryDep | 0 → 1 |
| 159905 | Gadomski, Therese Elizabeth | 2050021 | IsPrimaryDep | 1 → 0 |
| 025814849 | Guerrero Rosas, Carlos | 20242001 | IsPrimaryDep | 0 → 1 |
| 025814849 | Guerrero Rosas, Carlos | 21999014 | IsPrimaryDep | 1 → 0 |
| 101912 | Jagodzinski, Jason Edward | 20206028 | IsPrimaryDep | 1 → 0 |
| 101912 | Jagodzinski, Jason Edward | 20243013 | IsPrimaryDep | 0 → 1 |
| 116197 | Koehler, Matthew M | 5601093 | IsPrimaryDep | 1 → 0 |
| 116197 | Koehler, Matthew M | 5601094 | IsPrimaryDep | 0 → 1 |
| 69840 | Laroque, Elly Susannah | 3010009 | IsPrimaryDep | 0 → 1 |
| 69840 | Laroque, Elly Susannah | 9010279 | IsPrimaryDep | 1 → 0 |
| 146985 | Lee, Christopher | 3050001 | IsPrimaryDep | 1 → 0 |
| 146985 | Lee, Christopher | 5305015 | IsPrimaryDep | 0 → 1 |
| 136270 | Li, Michael | 5201083 | IsPrimaryDep | 0 → 1 |
| 136270 | Li, Michael | 5201465 | IsPrimaryDep | 1 → 0 |
| 83655 | Li, Walter Lig-Ming | 20212002 | IsPrimaryDep | 0 → 1 |
| 83655 | Li, Walter Lig-Ming | 9010045 | IsPrimaryDep | 1 → 0 |
| 029713112 | Liang, Anna Xiaotao | 20206036 | Provider Name | Liang, Anna → Liang, Anna Xiaotao |
| 029713112 | Liang, Anna Xiaotao | 20206036 | Title | RN → NP |
| 029713112 | Liang, Anna Xiaotao | 7101002 | Provider Name | Liang, Anna → Liang, Anna Xiaotao |
| 029713112 | Liang, Anna Xiaotao | 7101002 | Title | RN → NP |
| 022591507 | Mikhail, Megan | 5201452 | Provider Gender | → Female |
| 022591507 | Mikhail, Megan | 5201452 | Title | → MD |
| 58517 | Miller, Jennifer Anne | 20208001 | IsPrimaryDep | 1 → 0 |
| 024876187 | Mitchell, Sarah Ann Fisher | 20210002 | Provider Name | Mitchell, Sarah → Mitchell, Sarah Ann Fisher |
| 024876187 | Mitchell, Sarah Ann Fisher | 20210002 | Title | → LCSW |
| 145313 | Monico, Evelyn Carolina | 20212048 | IsPrimaryDep | 0 → 1 |
| 145313 | Monico, Evelyn Carolina | 5201527 | IsPrimaryDep | 1 → 0 |
| 026763268 | Newman, Patrick Michael | 6300001 | IsPrimaryDep | 0 → 1 |
| 026763268 | Newman, Patrick Michael | 6300002 | IsPrimaryDep | 1 → 0 |
| 72033 | Nolasco, Joslyn Ryan | 2040009 | IsPrimaryDep | 1 → 0 |
| 72033 | Nolasco, Joslyn Ryan | 9010307 | IsPrimaryDep | 0 → 1 |
| 45265 | Park, Michael Kwansup | 1100018 | IsPrimaryDep | 1 → 0 |
| 45265 | Park, Michael Kwansup | 9010140 | IsPrimaryDep | 0 → 1 |
| 151635 | Ramadas, Ramya | 20207003 | IsPrimaryDep | 1 → 0 |
| 151635 | Ramadas, Ramya | 20208001 | IsPrimaryDep | 0 → 1 |
| 025906512 | Rennels, Carolyn Forsyth | 5201198 | IsPrimaryDep | 0 → 1 |
| 025906512 | Rennels, Carolyn Forsyth | 5201316 | IsPrimaryDep | 1 → 0 |
| 147026 | Ricklefs, Colbey Arron | 5201459 | Provider Name | Ricklefs, Colbey → Ricklefs, Colbey Arron |
| 85204 | Ross, Javay Monique | 20207003 | IsPrimaryDep | 0 → 1 |
| 85204 | Ross, Javay Monique | 89000000 | IsPrimaryDep | 1 → 0 |
| 128223 | Sampson, Joshua David | 9300002 | IsPrimaryDep | 1 → 0 |
| 128223 | Sampson, Joshua David | 9300003 | IsPrimaryDep | 0 → 1 |
| 10002631 | Sfomg Sut Allergy 1139 Resource, | 7900045 | UCSFID | → 10002631 |
| 028226793 | Simon, Amy | 20206018 | IsPrimaryDep | 0 → 1 |
| 028226793 | Simon, Amy | 20212026 | IsPrimaryDep | 1 → 0 |
| 75540 | Tai, Chau Yu | 20206031 | IsPrimaryDep | 1 → 0 |
| 75540 | Tai, Chau Yu | 20212013 | IsPrimaryDep | 0 → 1 |
| 029185220 | Velez, Christine | 20223001 | NPI | → 1942678362 |
| 029185220 | Velez, Christine | 20223001 | Provider Name | Velez, Christine M → Velez, Christine |
| 029185220 | Velez, Christine | 20223001 | Provider Gender | → Female |
| 029185220 | Velez, Christine | 20223001 | Title | → LCSW |
| 029185220 | Velez, Christine | 20232001 | NPI | → 1942678362 |
| 029185220 | Velez, Christine | 20232001 | Provider Name | Velez, Christine M → Velez, Christine |
| 029185220 | Velez, Christine | 20232001 | Provider Gender | → Female |
| 029185220 | Velez, Christine | 20232001 | Title | → LCSW |
| 117384 | Wilson, Alix Mackenzie | 20206028 | IsPrimaryDep | 0 → 1 |
| 117384 | Wilson, Alix Mackenzie | 20212012 | IsPrimaryDep | 1 → 0 |
| 158251 | Wilson, Jennifer | 1100030 | IsPrimaryDep | 1 → 0 |
| 158251 | Wilson, Jennifer | 1100073 | IsPrimaryDep | 0 → 1 |
| 021552187 | Wong, Stephanie Erin | 3010009 | IsPrimaryDep | 1 → 0 |
| 021552187 | Wong, Stephanie Erin | 9010159 | IsPrimaryDep | 0 → 1 |
| 131457 | Yuasa, Megan Christine | 20206013 | IsPrimaryDep | 1 → 0 |
| 131457 | Yuasa, Megan Christine | 5201036 | IsPrimaryDep | 0 → 1 |
| 131585 | Zaragoza, Cazandra | 1100005 | IsPrimaryDep | 0 → 1 |
| 131585 | Zaragoza, Cazandra | 5201532 | IsPrimaryDep | 1 → 0 |