| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 023602782 | Cook, Jessica | 3202001 | SOD PED DENT PARN | 0 | |
| 022597470 | Gadler, Carson | 3202001 | SOD PED DENT PARN | 0 | |
| 025882465 | Getman, Adriana | 3202001 | SOD PED DENT PARN | 0 | |
| 029502572 | Ghatore, Sahib | 3202001 | SOD PED DENT PARN | 0 | |
| 022422307 | Grothause, Adrianna | 3202001 | SOD PED DENT PARN | 0 | |
| 130997 | Johnson, Kathryn Anne | 1578630141 | 6101004 | CC UCBEYE SPORTS VISION EMV | 0 |
| 023883234 | Kobasic, Krystal | 1100031 | DIAB TEACH PARN | 1 | |
| 159751 | Macdougall, Matthew Steven | 1740867001 | 6600005 | CC UBCP ALLERGY AND ASTHMA ASSOCIATES FREMONT | 0 |
| 10008467 | Myc1f - Ucbeye Emv, | 6101006 | CC UCBEYE MYOPIA EMV | 1 | |
| 10008468 | Myc2f - Ucbeye Emv, | 6101006 | CC UCBEYE MYOPIA EMV | 1 | |
| 10008469 | Myc3f - Ucbeye Emv, | 6101006 | CC UCBEYE MYOPIA EMV | 1 | |
| 10008470 | Myc4f - Ucbeye Emv, | 6101006 | CC UCBEYE MYOPIA EMV | 1 | |
| 023241466 | Orozco, Isela Lisette | 1720977127 | 6101004 | CC UCBEYE SPORTS VISION EMV | 0 |
| 021614615 | Padilla, Hugo | 3202001 | SOD PED DENT PARN | 0 | |
| 028991495 | Sajer, Megan Eileen | 1760370860 | 6101003 | CC UCBEYE SVACH EMV | 0 |
| 028991495 | Sajer, Megan Eileen | 1760370860 | 6101005 | CC UCBEYE PEDS EMV | 0 |
| 028828044 | Sridhar, Mahalakshmi | 3202001 | SOD PED DENT PARN | 0 | |
| 10007483 | T4cl1 - Ucbeye Cl Tc, | 6100018 | CC UCBEYE CONTACT LENS TC | 1 | |
| 025099987 | Tan, Deborah | 3202001 | SOD PED DENT PARN | 0 | |
| 62415 | Vo, Christina Shen-Shieh | 1598850562 | 4900001 | CC UBCP EAST BAY PEDS MED GRP BERKELEY | 0 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 023133820 | Speis, Karen | 1588494702 | 5309030 | REHAB PT FP BAYFRONT | 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 |
| 122541 | Anderson, Allison Young | 8600001 | IsPrimaryDep | 0 → 1 |
| 122541 | Anderson, Allison Young | 8600002 | IsPrimaryDep | 1 → 0 |
| 34489 | Brakeman, Paul R | 20206025 | IsPrimaryDep | 0 → 1 |
| 34489 | Brakeman, Paul R | 5201041 | IsPrimaryDep | 1 → 0 |
| 68612 | Cheng, Jeffrey Binyan | 2030002 | IsPrimaryDep | 0 → 1 |
| 68612 | Cheng, Jeffrey Binyan | 5201388 | IsPrimaryDep | 1 → 0 |
| 125781 | Cobb-Walch, Abby Marie | 20206013 | IsPrimaryDep | 0 → 1 |
| 125781 | Cobb-Walch, Abby Marie | 5201531 | IsPrimaryDep | 1 → 0 |
| 111686 | Gallagher, Theresa Lee | 7900005 | IsPrimaryDep | 1 → 0 |
| 111686 | Gallagher, Theresa Lee | 7900042 | IsPrimaryDep | 0 → 1 |
| 42805 | Handelsman, Sarah Cahn | 4900001 | IsPrimaryDep | 0 → 1 |
| 42805 | Handelsman, Sarah Cahn | 4900002 | IsPrimaryDep | 1 → 0 |
| 131292 | Ho, Jiunling Janet | 5201082 | IsPrimaryDep | 0 → 1 |
| 131292 | Ho, Jiunling Janet | 5201316 | IsPrimaryDep | 1 → 0 |
| 68344 | Hodges, Bethany K | 4900001 | IsPrimaryDep | 1 → 0 |
| 68344 | Hodges, Bethany K | 4900002 | IsPrimaryDep | 0 → 1 |
| 64030 | Huang, James | 5201174 | IsPrimaryDep | 0 → 1 |
| 64030 | Huang, James | 9010220 | IsPrimaryDep | 1 → 0 |
| 022847891 | Jiam, Nicole | 2060009 | IsPrimaryDep | 0 → 1 |
| 022847891 | Jiam, Nicole | 5201555 | IsPrimaryDep | 1 → 0 |
| 156669 | Mickelson, Julia | 1100065 | IsPrimaryDep | 0 → 1 |
| 156669 | Mickelson, Julia | 5305015 | IsPrimaryDep | 1 → 0 |
| 026763268 | Newman, Patrick Michael | 6300001 | IsPrimaryDep | 1 → 0 |
| 026763268 | Newman, Patrick Michael | 6300002 | IsPrimaryDep | 0 → 1 |
| 48015 | Olson, Jennifer Ann | 20206013 | IsPrimaryDep | 0 → 1 |
| 48015 | Olson, Jennifer Ann | 20212003 | IsPrimaryDep | 1 → 0 |
| 57349 | Pickering, Courtney Wedl | 4900001 | IsPrimaryDep | 1 → 0 |
| 57349 | Pickering, Courtney Wedl | 4900002 | IsPrimaryDep | 0 → 1 |
| 021091244 | Ponthier, Jazmin Janel | 20209003 | IsPrimaryDep | 0 → 1 |
| 021091244 | Ponthier, Jazmin Janel | 20232001 | IsPrimaryDep | 1 → 0 |
| 143459 | Raque, Madeline C | 5601003 | IsPrimaryDep | 0 → 1 |
| 143459 | Raque, Madeline C | 5601038 | IsPrimaryDep | 1 → 0 |
| 020284485 | Ravitz, Adrian B. | 5201119 | IsPrimaryDep | 0 → 1 |
| 020284485 | Ravitz, Adrian B. | 9010287 | IsPrimaryDep | 1 → 0 |
| 120889 | Reddy, Alyssa Terry | 5201058 | IsPrimaryDep | 1 → 0 |
| 120889 | Reddy, Alyssa Terry | 5201397 | IsPrimaryDep | 0 → 1 |
| 128015 | Tremmel-Howell, Kelly O'connor | 20206018 | IsPrimaryDep | 1 → 0 |
| 128015 | Tremmel-Howell, Kelly O'connor | 20212026 | IsPrimaryDep | 0 → 1 |
| 158251 | Wilson, Jennifer | 1100030 | IsPrimaryDep | 1 → 0 |
| 158251 | Wilson, Jennifer | 1100073 | IsPrimaryDep | 0 → 1 |