| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 162242 | Africk, Benjamin Nathan | 1760014666 | 5201121 | PBC HEADACHE MB | 1 |
| 145164 | Agarwal, Shreya | 1841654944 | 5201589 | PED HEM PRITZKER | 0 |
| 023746209 | Baheer, Sohaila | 6100011 | CC UCBEYE PRIMARY CARE MH | 1 | |
| 152540 | Belzer, Annika Grace | 1669160032 | 2030003 | DERM RES MZ DIVIS 3 | 1 |
| 157928 | Bian, Yuqi | 1023788890 | 1100057 | NEURO PARN | 1 |
| 026571059 | Chan, Monica | 50102002 | CANCER CENTER POPC | 1 | |
| 148040 | Chew Murphy, Emma Ying | 1073074100 | 2050006 | OBGYN MZ 5 | 0 |
| 10007286 | Eeg Tech E, | 20206010 | BCH OAK OPC EEG | 1 | |
| 022079842 | Flores, Angela | 6100020 | CC UCBEYE PRIMARY CARE TC | 1 | |
| 152338 | Gaeta, Benjamin Canon | 1457106924 | 5201450 | PSYCH PEDS PRITZKER | 0 |
| 027191832 | Gamsky, Katherine Lee | 1386214989 | 20206029 | BCH OAK OPC PEDI PULMONARY | 1 |
| 152442 | Gore, Sydney Lee | 1649020066 | 5201450 | PSYCH PEDS PRITZKER | 0 |
| 158053 | Gotschall, Jeromy Warren | 1407697824 | 2030003 | DERM RES MZ DIVIS 3 | 0 |
| 152765 | Haile, Kenna | 1154173011 | 5201450 | PSYCH PEDS PRITZKER | 0 |
| 40403 | Ihle, Eva Cleopatra | 1730190745 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 111304 | Ippoliti, Simone Rica | 1528514981 | 20228001 | BCH OAK BERT | 0 |
| 025479643 | Jones, Norma | 50102002 | CANCER CENTER POPC | 1 | |
| 152339 | Kribakaran, Sahana | 1750133047 | 5201450 | PSYCH PEDS PRITZKER | 0 |
| 024332892 | Lao-Ngo, Isabelle | 3202001 | SOD PED DENT PARN | 0 | |
| 152637 | Leon, Indigo | 1962251280 | 5201450 | PSYCH PEDS PRITZKER | 0 |
| 153463 | Makol, Richika | 1770144909 | 6600008 | CC UBCP ALLERGY AND ASTHMA ASSOCIATES MONTEREY | 0 |
| 91840 | Mayle Jr., Robert E | 1174710545 | 9300001 | CC CIP CAL PAC ORTHO CLINIC 108 | 0 |
| 029341922 | Mcintyre, Leah Wylie | 1275171704 | 5309030 | REHAB PT FP BAYFRONT | 1 |
| 152340 | Nakamoto, Max Mitsuo | 1518717875 | 5201450 | PSYCH PEDS PRITZKER | 0 |
| 021455035 | Naseib, Natalie | 3202001 | SOD PED DENT PARN | 0 | |
| 152341 | Nemeh, Michael Nadeem | 1861017493 | 5201450 | PSYCH PEDS PRITZKER | 0 |
| 020563383 | Ngo, Celine | 3202001 | SOD PED DENT PARN | 0 | |
| 10006135 | Nurse, Oncology Wc | 20212042 | BCH OAK WC ONCOLOGY | 1 | |
| 152981 | Omar, Deega | 1548956477 | 2030003 | DERM RES MZ DIVIS 3 | 1 |
| 152343 | Ramiro, Christian Emmanuel Salonga | 1831949437 | 5201450 | PSYCH PEDS PRITZKER | 0 |
| 024795445 | Sarsangi, Nour | 6101006 | CC UCBEYE MYOPIA EMV | 1 | |
| 020833489 | Suri, Priyanka | 3202001 | SOD PED DENT PARN | 0 | |
| 026730184 | Swenson, Sonja Marie | 1639706203 | 2040009 | PED PRIMARY MZ | 0 |
| 028142677 | Tatikonda, Bhuvaneshwari | 3202001 | SOD PED DENT PARN | 0 | |
| 122392 | Temple, Sara Ringling | 1619487402 | 5309016 | REHAB PT FP LAKESHORE | 0 |
| 159438 | Vo, Austin Thao | 1255135182 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 132565 | Woo Lee, Yessika | 1144841735 | 5601092 | MH PODIATRY SRF | 1 |
| 104733 | Yamnik, Alexandra Victorovna | 1508165077 | 5201032 | OB MISSION BAY | 0 |
| 020857025 | Zhang, Amanda | 6100003 | CC UCBEYE CONTACT LENS MH | 1 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 021264338 | Agarwal, Neha | 3202001 | SOD PED DENT PARN | 0 | |
| 026367656 | Ajifolokun, Oreoluwa | 3202001 | SOD PED DENT PARN | 0 | |
| 022668107 | Ambesh, Sahitya | 3202001 | SOD PED DENT PARN | 0 | |
| 026535963 | Asiedu, Anna-Lena | 3202001 | SOD PED DENT PARN | 0 | |
| 83257 | Budzik, Jonathan Michael | 1356632632 | 20212015 | BCH OAK WC PEDI PULMONARY | 0 |
| 10007513 | Cpsp Healthcare Navigator 2, | 5201032 | OB MISSION BAY | 1 | |
| 10008186 | Endo Hayes Diabetes Educator, | 50100046 | ENDO HAYES ND | 1 | |
| 101790 | Flis, Daniel W | 1316266042 | 7900000 | CC CIP SFOMG SUT OTO | 0 |
| 103704 | Frank, Emily Wolens | 1306231618 | 20211001 | BCH OAK FQ MCC HIGH SCHOOL | 0 |
| 027299775 | Hoffman, Carly Nicole | 1780962035 | 20206026 | BCH OAK OPC NEURO ONC | 0 |
| 026813832 | Jahanzaib, Ali | 3202001 | SOD PED DENT PARN | 0 | |
| 133792 | Kaufmann, Carrie Ann | 1164513321 | 6600007 | CC UBCP ALLERGY AND ASTHMA ASSOCIATES SANTA CRUZ | 0 |
| 028115749 | Kazancioglu, Joseph | 3202001 | SOD PED DENT PARN | 0 | |
| 024585853 | Lawson, Mariam | 7101002 | BTBH SCHEDULING | 1 | |
| 104182 | Lee, Janet Yi Man | 1336439777 | 5201036 | PED ENDO MB | 0 |
| 129751 | Luu, Xing Wang | 1194284554 | 3010036 | PED DIABETES | 0 |
| 116439 | Nguyen, Diana Kim | 1134411077 | 3208001 | SOD GEN DENT PRE-D CITYWIDE | 1 |
| 10008320 | Oak In-Person Group Class, | 20206013 | BCH OAK OPC ENDOCRINOLOGY | 1 | |
| 146724 | Oyakhire, Adeoluwa Segilola | 1881397081 | 2110002 | GEN MED MZ 1545 2 | 1 |
| 022791974 | Patel, Karan | 3202001 | SOD PED DENT PARN | 0 | |
| 157934 | Pelak, Alyssa | 1164224556 | 2020005 | HEADACHE MZ | 1 |
| 027592856 | Rim, Monneca | 3202001 | SOD PED DENT PARN | 0 | |
| 159782 | Sandhu, Naveet | 1467256784 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 127967 | Sherifi, Ines | 1134518541 | 5601010 | MH CARDIOVASC LKS | 0 |
| 10008285 | Strength Mindset - Psych, | 5201430 | CANCER GRP VISITS MB1 | 1 | |
| 020346045 | Syed, Shanzey | 3202001 | SOD PED DENT PARN | 0 | |
| 48094 | Yee, Alisa M | 1265460752 | 1100047 | SURGERY PARN | 1 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 69468 | Ahmad, Tariq Ebrahim | 20206013 | IsPrimaryDep | 1 → 0 |
| 69468 | Ahmad, Tariq Ebrahim | 20243003 | IsPrimaryDep | 0 → 1 |
| 90592 | Banwait, Premilla | 6100002 | IsPrimaryDep | 0 → 1 |
| 90592 | Banwait, Premilla | 6101005 | IsPrimaryDep | 1 → 0 |
| 153933 | Bergstrom, Anna L | 5309015 | IsPrimaryDep | 0 → 1 |
| 153933 | Bergstrom, Anna L | 5309030 | IsPrimaryDep | 1 → 0 |
| 97995 | Besson, Deborah Chen | 2050009 | IsPrimaryDep | 0 → 1 |
| 97995 | Besson, Deborah Chen | 2050020 | IsPrimaryDep | 1 → 0 |
| 34489 | Brakeman, Paul R | 20206025 | IsPrimaryDep | 1 → 0 |
| 34489 | Brakeman, Paul R | 5201041 | IsPrimaryDep | 0 → 1 |
| 131870 | Casillas Jr., Ernesto | 5201109 | IsPrimaryDep | 0 → 1 |
| 131870 | Casillas Jr., Ernesto | 9010347 | IsPrimaryDep | 1 → 0 |
| 023094311 | Castanzo, Caitlin Lucinese | 5201207 | IsPrimaryDep | 0 → 1 |
| 023094311 | Castanzo, Caitlin Lucinese | 9010210 | IsPrimaryDep | 1 → 0 |
| 024414559 | Castillo, Francine Mariel Tungpalan | 2030003 | Provider Name | Castillo, Francine Mariel → Castillo, Francine Mariel Tungpalan |
| 121075 | Cheng, Bernice Pui Hang | 20206011 | IsPrimaryDep | 1 → 0 |
| 121075 | Cheng, Bernice Pui Hang | 20243007 | IsPrimaryDep | 0 → 1 |
| 42620 | Chiang, Patricia | 7023002 | IsPrimaryDep | 1 → 0 |
| 42620 | Chiang, Patricia | 7023003 | IsPrimaryDep | 0 → 1 |
| 029384732 | Choi, Eunjung | 9010202 | IsPrimaryDep | 0 → 1 |
| 029384732 | Choi, Eunjung | 9010204 | IsPrimaryDep | 1 → 0 |
| 22603 | De Marco, Teresa | 5201461 | IsPrimaryDep | 0 → 1 |
| 22603 | De Marco, Teresa | 5201470 | IsPrimaryDep | 1 → 0 |
| 139346 | Eggert, Lauren Elaine | 1100029 | IsPrimaryDep | 0 → 1 |
| 139346 | Eggert, Lauren Elaine | 9010363 | IsPrimaryDep | 1 → 0 |
| 60646 | Ekstrand, Bradley Cameron | 50102002 | IsPrimaryDep | 0 → 1 |
| 60646 | Ekstrand, Bradley Cameron | 9010184 | IsPrimaryDep | 1 → 0 |
| 111686 | Gallagher, Theresa Lee | 7900005 | IsPrimaryDep | 1 → 0 |
| 111686 | Gallagher, Theresa Lee | 7900042 | IsPrimaryDep | 0 → 1 |
| 021233861 | Goslinga, Jill Ann | 5201160 | IsPrimaryDep | 1 → 0 |
| 021233861 | Goslinga, Jill Ann | 5201286 | IsPrimaryDep | 0 → 1 |
| 59936 | Herz, Susanne Pelley Martin | 20207003 | IsPrimaryDep | 1 → 0 |
| 59936 | Herz, Susanne Pelley Martin | 5201517 | IsPrimaryDep | 0 → 1 |
| 50900 | Hung, Erick K | 1090021 | IsPrimaryDep | 1 → 0 |
| 50900 | Hung, Erick K | 5201446 | IsPrimaryDep | 0 → 1 |
| 40403 | Ihle, Eva Cleopatra | 5201450 | IsPrimaryDep | 1 → 0 |
| 020829636 | Lalchandani, Gopal Ram | 20212012 | IsPrimaryDep | 1 → 0 |
| 020829636 | Lalchandani, Gopal Ram | 3010005 | IsPrimaryDep | 0 → 1 |
| 144942 | Lee, Matthew Hyun Joon | 50102002 | IsPrimaryDep | 0 → 1 |
| 144942 | Lee, Matthew Hyun Joon | 9010184 | IsPrimaryDep | 1 → 0 |
| 029713112 | Liang, Anna Xiaotao | 20206036 | Provider Name | Liang, Anna → Liang, Anna Xiaotao |
| 029713112 | Liang, Anna Xiaotao | 20206036 | Title | RN → NP |
| 57349 | Pickering, Courtney Wedl | 4900001 | IsPrimaryDep | 0 → 1 |
| 57349 | Pickering, Courtney Wedl | 4900002 | IsPrimaryDep | 1 → 0 |
| 028014272 | Polson, Stephanie | 7101002 | Title | → LCSW |
| 115013 | Qiu, Bo | 20206026 | IsPrimaryDep | 0 → 1 |
| 115013 | Qiu, Bo | 5201049 | IsPrimaryDep | 1 → 0 |
| 026545012 | Ray, Jordan | 5201054 | IsPrimaryDep | 0 → 1 |
| 026545012 | Ray, Jordan | 5201119 | IsPrimaryDep | 1 → 0 |
| 025906512 | Rennels, Carolyn Forsyth | 5201198 | IsPrimaryDep | 1 → 0 |
| 025906512 | Rennels, Carolyn Forsyth | 5201316 | IsPrimaryDep | 0 → 1 |
| 97266 | Rubin, Jessica Beth | 5201083 | IsPrimaryDep | 0 → 1 |
| 97266 | Rubin, Jessica Beth | 5201465 | IsPrimaryDep | 1 → 0 |
| 50486 | Schroeder, Nicole | 3010005 | IsPrimaryDep | 1 → 0 |
| 50486 | Schroeder, Nicole | 5601089 | IsPrimaryDep | 0 → 1 |
| 125854 | Seijo, Leslie Libeth | 1100148 | IsPrimaryDep | 0 → 1 |
| 125854 | Seijo, Leslie Libeth | 9010346 | IsPrimaryDep | 1 → 0 |
| 158084 | Shah, Akash | 5601098 | IsPrimaryDep | 1 → 0 |
| 158084 | Shah, Akash | 5601112 | IsPrimaryDep | 0 → 1 |
| 028226793 | Simon, Amy | 20206018 | IsPrimaryDep | 1 → 0 |
| 028226793 | Simon, Amy | 20212026 | IsPrimaryDep | 0 → 1 |
| 50596 | Singer, Jonathan P. | 1100118 | IsPrimaryDep | 1 → 0 |
| 50596 | Singer, Jonathan P. | 1100148 | IsPrimaryDep | 0 → 1 |
| 112327 | Soni, Anand Vindu | 5601010 | IsPrimaryDep | 1 → 0 |
| 112327 | Soni, Anand Vindu | 5601037 | IsPrimaryDep | 0 → 1 |
| 75540 | Tai, Chau Yu | 20206031 | IsPrimaryDep | 0 → 1 |
| 75540 | Tai, Chau Yu | 20212013 | IsPrimaryDep | 1 → 0 |
| 48219 | Teng, Peter Iwei | 1100065 | IsPrimaryDep | 0 → 1 |
| 48219 | Teng, Peter Iwei | 9010268 | IsPrimaryDep | 1 → 0 |
| 158755 | Thompson, Samuel Liam | 3010036 | IsPrimaryDep | 1 → 0 |
| 158755 | Thompson, Samuel Liam | 5201036 | IsPrimaryDep | 0 → 1 |
| 158250 | Veracruz, Nicolette | 1100030 | IsPrimaryDep | 0 → 1 |
| 158250 | Veracruz, Nicolette | 1100038 | IsPrimaryDep | 1 → 0 |
| 026943332 | Vivero, Christian P | 3010013 | IsPrimaryDep | 0 → 1 |
| 026943332 | Vivero, Christian P | 5309016 | IsPrimaryDep | 1 → 0 |
| 153851 | Walsh, Nathan | 2060006 | IsPrimaryDep | 0 → 1 |
| 153851 | Walsh, Nathan | 5201525 | IsPrimaryDep | 1 → 0 |
| 105302 | Wolbers, Linda Lee | 50100048 | IsPrimaryDep | 1 → 0 |
| 105302 | Wolbers, Linda Lee | 5201527 | IsPrimaryDep | 0 → 1 |
| 87589 | Zapata, Carly Suzanne | 5201168 | IsPrimaryDep | 1 → 0 |
| 87589 | Zapata, Carly Suzanne | 5201197 | IsPrimaryDep | 0 → 1 |
| 123040 | Ziser, Diana Celeste Ziser | 5201028 | Provider Name | Ziser, Diana Celeste → Ziser, Diana Celeste Ziser |
| 123040 | Ziser, Diana Celeste Ziser | 5201412 | Provider Name | Ziser, Diana Celeste → Ziser, Diana Celeste Ziser |