| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 103704 | Frank, Emily Wolens | 1306231618 | 20212045 | BCH OAK WC STAD CENTER PED PAIN, PALLITIVE & INTEGRATIVE MEDICINE | 0 |
| 72364 | Lai, Jennifer Cindy | 1649397241 | 9010366 | HEP MARIN | 0 |
| 62235 | Larson, Ilse Anne | 1700050333 | 2040009 | PED PRIMARY MZ | 1 |
| 022612444 | Malik, Wafa | 6101004 | CC UCBEYE SPORTS VISION EMV | 0 | |
| 152342 | Pour Emam Ali Siavan Mahaleh, Simin | 1114776481 | 5201444 | PSYCH EMBED ONC MZ | 0 |
| 152621 | Ravi, Divya | 1689245847 | 1100016 | KIDNEY POST PARN | 1 |
| 024795445 | Sarsangi, Nour | 6101005 | CC UCBEYE PEDS EMV | 1 | |
| 020857025 | Zhang, Amanda | 6101006 | CC UCBEYE MYOPIA EMV | 0 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 80101 | Fernandez, Sabrina R. S. | 1053543249 | 9020749 | POP HLTH COMM OUTREACH | 0 |
| 106321 | Indukuri, Sushma | 1437527348 | 7500000 | CC UBCP TRIVLY PED PLS | 1 |
| 157894 | Johnson, Eric Coleman | 1922636240 | 9020749 | POP HLTH COMM OUTREACH | 0 |
| 136392 | Nguyen, Jenny T. | 1033792759 | 9020749 | POP HLTH COMM OUTREACH | 0 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 34489 | Brakeman, Paul R | 20206025 | IsPrimaryDep | 0 → 1 |
| 34489 | Brakeman, Paul R | 5201041 | IsPrimaryDep | 1 → 0 |
| 136619 | Cengiz, Eda | 20206013 | IsPrimaryDep | 0 → 1 |
| 136619 | Cengiz, Eda | 3010036 | IsPrimaryDep | 1 → 0 |
| 152977 | Chau, Jasmine Jane | 7500000 | IsPrimaryDep | 1 → 0 |
| 152977 | Chau, Jasmine Jane | 7500001 | IsPrimaryDep | 0 → 1 |
| 118571 | Chen, Jennifer Y | 5201083 | IsPrimaryDep | 1 → 0 |
| 118571 | Chen, Jennifer Y | 5201561 | IsPrimaryDep | 0 → 1 |
| 029210176 | Chen, William C | 2000027 | IsPrimaryDep | 1 → 0 |
| 029210176 | Chen, William C | 5310001 | IsPrimaryDep | 0 → 1 |
| 109763 | Cil, Onur | 5201041 | IsPrimaryDep | 1 → 0 |
| 109763 | Cil, Onur | 5201177 | IsPrimaryDep | 0 → 1 |
| 025201716 | Craft, Katie S | 20206013 | IsPrimaryDep | 0 → 1 |
| 025201716 | Craft, Katie S | 3010036 | IsPrimaryDep | 1 → 0 |
| 80476 | Daudel, Jody Linn | 7024001 | IsPrimaryDep | 1 → 0 |
| 80476 | Daudel, Jody Linn | 7024002 | IsPrimaryDep | 0 → 1 |
| 156784 | Graham, John Gilly | 1100030 | IsPrimaryDep | 1 → 0 |
| 156784 | Graham, John Gilly | 5201460 | 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 |
| 142101 | Kidwell, Emily N | 2040001 | IsPrimaryDep | 1 → 0 |
| 142101 | Kidwell, Emily N | 5307001 | IsPrimaryDep | 0 → 1 |
| 128624 | Lee, Dong-Heun | 1090021 | IsPrimaryDep | 1 → 0 |
| 128624 | Lee, Dong-Heun | 1100034 | IsPrimaryDep | 0 → 1 |
| 029713112 | Liang, Anna | 20206036 | Provider Name | Liang, Anna Xiaotao → Liang, Anna |
| 029713112 | Liang, Anna | 20206036 | Title | NP → RN |
| 023738248 | Owens, Meghan | 5201049 | IsPrimaryDep | 1 → 0 |
| 023738248 | Owens, Meghan | 5321004 | IsPrimaryDep | 0 → 1 |
| 026185843 | Padilla, Nikki Madson | 5201044 | IsPrimaryDep | 0 → 1 |
| 026185843 | Padilla, Nikki Madson | 5201509 | IsPrimaryDep | 1 → 0 |
| 020284485 | Ravitz, Adrian B. | 5201119 | IsPrimaryDep | 0 → 1 |
| 020284485 | Ravitz, Adrian B. | 9010287 | IsPrimaryDep | 1 → 0 |
| 026545012 | Ray, Jordan | 5201054 | IsPrimaryDep | 1 → 0 |
| 026545012 | Ray, Jordan | 5201119 | IsPrimaryDep | 0 → 1 |
| 147089 | Rinne, Nicole N. | 2040014 | IsPrimaryDep | 0 → 1 |
| 147089 | Rinne, Nicole N. | 5201526 | IsPrimaryDep | 1 → 0 |
| 80180 | Rosow, Laura Katherine | 5201160 | IsPrimaryDep | 1 → 0 |
| 80180 | Rosow, Laura Katherine | 5201286 | IsPrimaryDep | 0 → 1 |
| 024795445 | Sarsangi, Nour | 6101006 | IsPrimaryDep | 1 → 0 |
| 158084 | Shah, Akash | 5601098 | IsPrimaryDep | 1 → 0 |
| 158084 | Shah, Akash | 5601112 | IsPrimaryDep | 0 → 1 |
| 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 |
| 147676 | Tamashiro, Carolina Yone | 20206046 | IsPrimaryDep | 0 → 1 |
| 147676 | Tamashiro, Carolina Yone | 5201042 | IsPrimaryDep | 1 → 0 |
| 117384 | Wilson, Alix Mackenzie | 20206028 | IsPrimaryDep | 0 → 1 |
| 117384 | Wilson, Alix Mackenzie | 20212012 | IsPrimaryDep | 1 → 0 |
| 105302 | Wolbers, Linda Lee | 50100048 | IsPrimaryDep | 0 → 1 |
| 105302 | Wolbers, Linda Lee | 5201527 | IsPrimaryDep | 1 → 0 |