| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 142915 | Ghaus, Sophia Jamal | 1558820670 | 2040019 | SLEEP DISORDER MZ | 1 |
| 147003 | Kelly, Molly | 1043772585 | 2040019 | SLEEP DISORDER MZ | 1 |
| 164401 | Khan, Samiya | 1649972936 | 1100030 | DIAB PARN | 1 |
| 113085 | Miller, Catherine A | 1114244720 | 9010108 | NEUROSURG MARIN | 1 |
| 125686 | Nip, Angel Siu Ying | 1346611514 | 9010218 | PED DIABETES SANTA ROSA | 0 |
| 159782 | Sandhu, Naveet | 1467256784 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 158249 | Turkiewicz, Joanna Victoria | 1396323648 | 1100030 | DIAB PARN | 1 |
| 10000361 | Ucsf Fellow Iii, | 1100030 | DIAB PARN | 1 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 10007339 | A1f - Ucbeye Pc Mh, | 6100011 | CC UCBEYE PRIMARY CARE MH | 1 | |
| 10007341 | A2f - Ucbeye Pc Mh, | 6100011 | CC UCBEYE PRIMARY CARE MH | 1 | |
| 123595 | Assar, Siavash | 1699298224 | 5201305 | OPHTH OPTOM MB 490 FL3 | 0 |
| 028314011 | Bowles, Adria Kay | 1548020456 | 2040009 | PED PRIMARY MZ | 1 |
| 146786 | Collins, David Paul | 1255075552 | 1100057 | NEURO PARN | 1 |
| 152272 | Couch, Kira Marie | 1588365464 | 2040009 | PED PRIMARY MZ | 1 |
| 111413 | Czechowicz, Josephine A | 1790001923 | 5201034 | OHNS PEDS MB | 0 |
| 10007447 | F7t - Ucbeye Pc Mh, | 6100011 | CC UCBEYE PRIMARY CARE MH | 1 | |
| 157814 | Fett, Bryton | 1144024324 | 2050007 | OBGYN MZ 6 | 1 |
| 130334 | Fogarty, Lucas S | 1033676622 | 5201056 | PED CT SURGERY MB | 1 |
| 159516 | Goto, Alan Seinosuke | 1861296733 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 22085 | Huie, Sonja Jean Fong | 1972664399 | 9400002 | CC UBCP PACIFIC PEDIATRICS CASTRO | 1 |
| 029998846 | Javed, Yasmin | 1750078481 | 6100005 | CC UCBEYE PEDS MH | 0 |
| 146846 | Le, Ha Do Huy | 1952978041 | 2040009 | PED PRIMARY MZ | 1 |
| 023365752 | Martin, Nathan | 20210002 | BCH OAK CAST EPSDT | 0 | |
| 87478 | Mathur, Anubhav N | 1093977662 | 5201062 | PED DERM MB | 0 |
| 10007612 | Medical Assistant Popc, | 50103019 | COLORECTAL SURG POPC | 1 | |
| 10007268 | Mh Ortho Care Lks Ma, | 5601101 | MH ORTHO CARE LKS | 1 | |
| 021637202 | Miyahara, Keiko | 3202009 | SOD PERIODONTAL SPECIALTY PARN | 0 | |
| 024040719 | Nedley, Emma | 3202001 | SOD PED DENT PARN | 0 | |
| 1007023 | New Patient Navigator Primary Care Call Center 1, | 9000009 | AMBULATORY CALL CENTER | 1 | |
| 76999 | Ortiz Urda, Maria Susana | 1154574853 | 5201388 | DERM SPR FAC 4 | 0 |
| 10002823 | Peds Opthalmology Faculty Mb, | 5201057 | OPHTH PED MB | 1 | |
| 10008429 | Peds1f, | 6100005 | CC UCBEYE PEDS MH | 1 | |
| 025818261 | Peralta, Jared Emmanuel | 1952153892 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 141404 | Ratican, Sara Elizabeth | 1558001487 | 1100057 | NEURO PARN | 1 |
| 121019 | Reid, Brooke I | 1629507496 | 2040001 | AUDIOLOGY MZ | 1 |
| 028991495 | Sajer, Megan Eileen | 1760370860 | 6100005 | CC UCBEYE PEDS MH | 0 |
| 97416 | Sampognaro, Paul Joseph | 1912243114 | 9010350 | NEURO STOCKTON | 0 |
| 81610 | Shumaker, Jeremy Ross | 1730389347 | 6100021 | CC UCBEYE SPORTS VISION TC | 1 |
| 127454 | Thompson, Susan Prescott | 1134654361 | 4030002 | LAKESHORE | 1 |
| 49494 | Threatt, Chris Bernard | 1568466589 | 6200001 | CC UBCP CHRIS THREATT MD | 1 |
| 153088 | Tian, Helen Siqi | 1699353060 | 5201048 | PED HEM MB | 0 |
| 10007468 | Tpc4 - Ucbeye Pc Tc, | 6100020 | CC UCBEYE PRIMARY CARE TC | 1 | |
| 10007469 | Tpc5 - Ucbeye Pc Tc, | 6100020 | CC UCBEYE PRIMARY CARE TC | 1 | |
| 10007470 | Tpc6 - Ucbeye Pc Tc, | 6100020 | CC UCBEYE PRIMARY CARE TC | 1 | |
| 152305 | Tran, Cassidy Man | 1801655592 | 2040009 | PED PRIMARY MZ | 1 |
| 100948 | Wong, Yu | 1043486863 | 5201037 | PED ALLERGY MB | 0 |
| 146604 | Zhao, Beiqun Mark | 1649652553 | 50103019 | COLORECTAL SURG POPC | 0 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 142464 | Anglin, Amy Patricia | 7500000 | IsPrimaryDep | 0 → 1 |
| 142464 | Anglin, Amy Patricia | 7500001 | IsPrimaryDep | 1 → 0 |
| 143489 | Badhwar, Anshul | 5601010 | IsPrimaryDep | 0 → 1 |
| 143489 | Badhwar, Anshul | 5601087 | IsPrimaryDep | 1 → 0 |
| 153933 | Bergstrom, Anna L | 5309015 | IsPrimaryDep | 0 → 1 |
| 153933 | Bergstrom, Anna L | 5309030 | IsPrimaryDep | 1 → 0 |
| 133016 | Bhasin, Neha | 20206041 | IsPrimaryDep | 0 → 1 |
| 133016 | Bhasin, Neha | 20212043 | IsPrimaryDep | 1 → 0 |
| 131870 | Casillas Jr., Ernesto | 5201109 | IsPrimaryDep | 0 → 1 |
| 131870 | Casillas Jr., Ernesto | 9010347 | IsPrimaryDep | 1 → 0 |
| 136619 | Cengiz, Eda | 20206013 | IsPrimaryDep | 1 → 0 |
| 136619 | Cengiz, Eda | 3010036 | IsPrimaryDep | 0 → 1 |
| 027058585 | Cuaresma, Clarice | 7101004 | IsPrimaryDep | 1 → 0 |
| 027058585 | Cuaresma, Clarice | 7102004 | IsPrimaryDep | 0 → 1 |
| 159905 | Gadomski, Therese Elizabeth | 2050006 | IsPrimaryDep | 1 → 0 |
| 159905 | Gadomski, Therese Elizabeth | 2050021 | IsPrimaryDep | 0 → 1 |
| 111686 | Gallagher, Theresa Lee | 7900005 | IsPrimaryDep | 0 → 1 |
| 111686 | Gallagher, Theresa Lee | 7900042 | IsPrimaryDep | 1 → 0 |
| 131292 | Ho, Jiunling Janet | 5201082 | IsPrimaryDep | 1 → 0 |
| 131292 | Ho, Jiunling Janet | 5201316 | IsPrimaryDep | 0 → 1 |
| 147003 | Kelly, Molly | 5201466 | 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 |
| 144942 | Lee, Matthew Hyun Joon | 50102002 | IsPrimaryDep | 1 → 0 |
| 144942 | Lee, Matthew Hyun Joon | 9010184 | IsPrimaryDep | 0 → 1 |
| 022612444 | Malik, Wafa | 6100011 | IsPrimaryDep | 0 → 1 |
| 022612444 | Malik, Wafa | 6101001 | IsPrimaryDep | 1 → 0 |
| 023002579 | Millstein, Judith Amanda | 20207003 | IsPrimaryDep | 0 → 1 |
| 023002579 | Millstein, Judith Amanda | 20208001 | IsPrimaryDep | 1 → 0 |
| 136090 | Mosti, Caterina Britt | 5201442 | IsPrimaryDep | 0 → 1 |
| 136090 | Mosti, Caterina Britt | 5201447 | IsPrimaryDep | 1 → 0 |
| 023738248 | Owens, Meghan | 5201049 | IsPrimaryDep | 0 → 1 |
| 023738248 | Owens, Meghan | 5321004 | IsPrimaryDep | 1 → 0 |
| 57349 | Pickering, Courtney Wedl | 4900001 | IsPrimaryDep | 0 → 1 |
| 57349 | Pickering, Courtney Wedl | 4900002 | IsPrimaryDep | 1 → 0 |
| 024721094 | Ramirez, Mirasol | 20210002 | Provider Name | Ramirez, Mirasol Marietta → Ramirez, Mirasol |
| 024721094 | Ramirez, Mirasol | 20210002 | Title | LCSW → |
| 020284485 | Ravitz, Adrian B. | 5201119 | IsPrimaryDep | 1 → 0 |
| 020284485 | Ravitz, Adrian B. | 9010287 | IsPrimaryDep | 0 → 1 |
| 80180 | Rosow, Laura Katherine | 5201160 | IsPrimaryDep | 1 → 0 |
| 80180 | Rosow, Laura Katherine | 5201286 | IsPrimaryDep | 0 → 1 |
| 024795445 | Sarsangi, Nour | 6100020 | IsPrimaryDep | 0 → 1 |
| 024795445 | Sarsangi, Nour | 6101005 | IsPrimaryDep | 1 → 0 |
| 78722 | Setty, Mala | 20206021 | IsPrimaryDep | 1 → 0 |
| 78722 | Setty, Mala | 20212005 | IsPrimaryDep | 0 → 1 |
| 75975 | Sherman, Courtney Beth | 5201083 | IsPrimaryDep | 1 → 0 |
| 75975 | Sherman, Courtney Beth | 5201465 | IsPrimaryDep | 0 → 1 |
| 108791 | Srinivasan, Shylaja Durga | 20206013 | IsPrimaryDep | 0 → 1 |
| 108791 | Srinivasan, Shylaja Durga | 3010036 | IsPrimaryDep | 1 → 0 |
| 93216 | Terry, Michael James | 3010010 | IsPrimaryDep | 0 → 1 |
| 93216 | Terry, Michael James | 5201488 | IsPrimaryDep | 1 → 0 |
| 83577 | Theologis, Alexander Antonios | 1100125 | IsPrimaryDep | 1 → 0 |
| 83577 | Theologis, Alexander Antonios | 9010157 | IsPrimaryDep | 0 → 1 |
| 128015 | Tremmel-Howell, Kelly O'connor | 20206018 | IsPrimaryDep | 0 → 1 |
| 128015 | Tremmel-Howell, Kelly O'connor | 20212026 | IsPrimaryDep | 1 → 0 |
| 153851 | Walsh, Nathan | 2060006 | IsPrimaryDep | 0 → 1 |
| 153851 | Walsh, Nathan | 5201525 | IsPrimaryDep | 1 → 0 |
| 68358 | Winnicki, Erica Durieux | 20206025 | IsPrimaryDep | 0 → 1 |
| 68358 | Winnicki, Erica Durieux | 5201041 | IsPrimaryDep | 1 → 0 |
| 105302 | Wolbers, Linda Lee | 50100048 | IsPrimaryDep | 0 → 1 |
| 105302 | Wolbers, Linda Lee | 5201527 | IsPrimaryDep | 1 → 0 |
| 87589 | Zapata, Carly Suzanne | 5201168 | IsPrimaryDep | 1 → 0 |
| 87589 | Zapata, Carly Suzanne | 5201197 | IsPrimaryDep | 0 → 1 |