| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 028801561 | Ahmad, Farah | 1669310298 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 027140797 | Alanzalon, Joselyn | 1811743958 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 126155 | Bayne, Joseph | 1316301179 | 5201108 | CARD PACT MB | 0 |
| 164055 | Borges, Beltran | 1598604761 | 2040009 | PED PRIMARY MZ | 1 |
| 164057 | Cheema, Simardeep | 1942148457 | 2040009 | PED PRIMARY MZ | 1 |
| 163358 | Choi, Colby | 1588502603 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 028847952 | Choudhury, Asha Sheila | 1053873695 | 1100005 | URGENT CARE PARN | 1 |
| 163899 | Doan, Kollan | 1447144761 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 164061 | Field, Natalie | 1104764687 | 2040009 | PED PRIMARY MZ | 1 |
| 020868089 | Frediani, Emily Rene | 1437097656 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 163360 | Garcia, Brian | 1548108533 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 164668 | Gerber, Katherine | 1225978794 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 142915 | Ghaus, Sophia Jamal | 1558820670 | 5201442 | PSYCH EMBED SLEEP WEILL | 0 |
| 024003170 | Givens, Natalie Rose | 1366174310 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 18959 | Goldman, Mindy E. | 1174565451 | 9010192 | OBGYN SAN MATEO | 1 |
| 163363 | Greco, Mariah Michelle | 1649118852 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 163364 | Gutierrez Seymour, Gubidxa Huitzi | 1124967849 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 164669 | Haghshenas, Cameron | 1992646871 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 163365 | Hattler, Brenna Rose | 1265370381 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 163366 | Hirsch, Megan Alyssa | 1245178789 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 163369 | Jiang, Alice Luchen | 1740128941 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 164529 | Johnson, Kristian Jacob | 1467391474 | 2040009 | PED PRIMARY MZ | 1 |
| 163403 | Kalbag, Maya Anil | 1730027970 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 164708 | Kartamyshev, Malvina | 1952241655 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 028521201 | Kataria, Leila Ami | 1164370367 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 147003 | Kelly, Molly | 1043772585 | 5201442 | PSYCH EMBED SLEEP WEILL | 0 |
| 164469 | Kim, Mindy Minjeong | 1174218614 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 20242 | Knowlton, Robert C. | 1144257601 | 9010227 | NEURO MARIN | 0 |
| 47784 | Koliwad, Suneil Krishna | 1225006687 | 9010360 | ENDO SAN MATEO | 0 |
| 164703 | Lee, Samuel | 1639971369 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 164470 | Lee, Yu Kyung | 1891484648 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 163407 | Lin, Stacey | 1912847203 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 163408 | Loftus, Harrison Wyatt | 1356199715 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 164067 | Loula, Julia Marie | 1114867736 | 2040009 | PED PRIMARY MZ | 1 |
| 163484 | Maheshwari, Aditi | 1518806603 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 163486 | Mcbride, Hannah Constance | 1164361986 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 163487 | Mccall, Ashlynn Tamaeha | 1902744949 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 164176 | Mchenry, Kathryn Marie | 1629916150 | 2040009 | PED PRIMARY MZ | 1 |
| 164702 | Mejdell, Mackenna | 1609716547 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 164179 | Montesano Scheibe, Elizabeth Hale | 1023958477 | 2040009 | PED PRIMARY MZ | 1 |
| 164705 | Moreno, Giovanni | 1891596029 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 163488 | Mwarumba, Tuzo Mwavita | 1174192496 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 10002296 | Neuro Spine Provider, | 1100018 | NEURO SPINE PARN 2 | 1 | |
| 10002332 | Nurse Peds Specialties, | 20206011 | BCH OAK OPC NEUROLOGY | 1 | |
| 164181 | O'donnell, Calvin David | 1275397747 | 2040009 | PED PRIMARY MZ | 1 |
| 76999 | Ortiz Urda, Maria Susana | 1154574853 | 2030020 | MELANOMA CENTER 1701 | 0 |
| 029262011 | Rodriguez Orozco, Carolina | 1699613331 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 029609542 | Saeed, Sana | 1477492148 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 025005570 | Schneider, Leslie | 1972442317 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 163506 | Shang, Wendy | 1720710999 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 164186 | Sharma, Malini | 1225977655 | 2040009 | PED PRIMARY MZ | 1 |
| 028860880 | Sharma, Nandini | 20207003 | BCH OAK FQ CONTINUITY | 1 | |
| 164471 | Shu, Alan Huilu | 1275235095 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 50596 | Singer, Jonathan P. | 1932122462 | 9010346 | LUNG TR SACRAMENTO | 0 |
| 10000033 | Student Y Gm Osher 2, | 2110002 | GEN MED MZ 1545 2 | 1 | |
| 163507 | Ta, Carolyn Gia An | 1114770211 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 164188 | Tan, Zheng Hong | 1881552990 | 2040009 | PED PRIMARY MZ | 1 |
| 028538353 | Teniola, Stella | 7101002 | BTBH SCHEDULING | 1 | |
| 163902 | Tingling, Kyle | 1649110388 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| 023673965 | Tribuzio, Kathy | 7101002 | BTBH SCHEDULING | 1 | |
| 023659725 | Tronick, Lauren Nicole | 1609578467 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 026437368 | Velasquez, Gerardo Hernandez | 1548064017 | 1100057 | NEURO PARN | 1 |
| 023416969 | Virk, Anuk | 1295674372 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 026408526 | Wang, Christina Kun | 1427634393 | 1100005 | URGENT CARE PARN | 1 |
| 020223335 | Watson, Katherine Grace | 1588512842 | 20207003 | BCH OAK FQ CONTINUITY | 1 |
| 67750 | Yank, Veronica Ann | 1447310248 | 2110001 | GEN MED MZ 1545 1 | 1 |
| 164671 | Zimmer, Darianne | 1043150501 | 6002067 | SMH PHILIPPA GEN MED | 1 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 029236056 | Clairmont, Lindsey | 5201542 | POP HLTH DISEASE MGMT | 1 | |
| 10006565 | Ltx Provider San Mateo, | 9010180 | LIVER TR SAN MATEO | 1 | |
| 140867 | Pellionisz, Peter Andras | 1639810328 | 5201415 | MOVEMENT WEILL | 0 |
| 10006655 | Sod Ped Dent Mb 2, | 3204002 | SOD PED DENT MB | 1 | |
| 10007590 | Sod Ped Dent Parn 2, | 3202001 | SOD PED DENT PARN | 1 | |
| 127730 | Walker, Georganne | 1942308903 | 7023003 | CC UBCP PPMG ALAMEDA | 1 |
| 154383 | Xue, Shihua | 1386478774 | 3202007 | SOD ENDODONTICS PARN | 1 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 141488 | Allen, David E | 50100008 | Title | PA-C → PA |
| 131870 | Casillas Jr., Ernesto | 5201109 | IsPrimaryDep | 1 → 0 |
| 131870 | Casillas Jr., Ernesto | 9010347 | IsPrimaryDep | 0 → 1 |
| 029638996 | Cavazos, Judith | 20206030 | Title | → PhD |
| 145799 | Chau, Michael Ming-Wah | 20206028 | IsPrimaryDep | 1 → 0 |
| 145799 | Chau, Michael Ming-Wah | 5201053 | IsPrimaryDep | 0 → 1 |
| 125781 | Cobb-Walch, Abby Marie | 20206013 | IsPrimaryDep | 0 → 1 |
| 125781 | Cobb-Walch, Abby Marie | 5201531 | IsPrimaryDep | 1 → 0 |
| 128627 | Dorsey-Higdon, Carrie | 1100030 | Provider Name | Dorsey-Higdon, Carrie Moore → Dorsey-Higdon, Carrie |
| 60646 | Ekstrand, Bradley Cameron | 50102002 | IsPrimaryDep | 1 → 0 |
| 60646 | Ekstrand, Bradley Cameron | 9010184 | IsPrimaryDep | 0 → 1 |
| 141881 | El Chaki, Rim | 20206025 | IsPrimaryDep | 0 → 1 |
| 141881 | El Chaki, Rim | 9010224 | IsPrimaryDep | 1 → 0 |
| 111686 | Gallagher, Theresa Lee | 7900005 | IsPrimaryDep | 0 → 1 |
| 111686 | Gallagher, Theresa Lee | 7900042 | IsPrimaryDep | 1 → 0 |
| 42978 | Holt, Elizabeth Hopkins | 2000082 | IsPrimaryDep | 0 → 1 |
| 42978 | Holt, Elizabeth Hopkins | 5201521 | IsPrimaryDep | 1 → 0 |
| 027203827 | Kelly, Catherine | 6002108 | IsPrimaryDep | 0 → 1 |
| 027203827 | Kelly, Catherine | 8001035 | IsPrimaryDep | 1 → 0 |
| 116197 | Koehler, Matthew M | 5601093 | IsPrimaryDep | 1 → 0 |
| 116197 | Koehler, Matthew M | 5601094 | IsPrimaryDep | 0 → 1 |
| 108435 | Krystal, Andrew Darrell | 5201446 | IsPrimaryDep | 0 → 1 |
| 108435 | Krystal, Andrew Darrell | 5201448 | IsPrimaryDep | 1 → 0 |
| 133320 | Lin, Elaine J | 5601093 | IsPrimaryDep | 0 → 1 |
| 133320 | Lin, Elaine J | 5601094 | IsPrimaryDep | 1 → 0 |
| 10000196 | Lvn1 Obgyn Mz, | 2050007 | IsPrimaryDep | 1 → 0 |
| 10000196 | Lvn1 Obgyn Mz, | 2050021 | IsPrimaryDep | 0 → 1 |
| 120153 | Mcnalley, Thomas Edward | 20206006 | IsPrimaryDep | 1 → 0 |
| 120153 | Mcnalley, Thomas Edward | 20206053 | IsPrimaryDep | 0 → 1 |
| 153532 | Nevsimal, Rachael | 5309020 | IsPrimaryDep | 1 → 0 |
| 153532 | Nevsimal, Rachael | 5309030 | IsPrimaryDep | 0 → 1 |
| 026185843 | Padilla, Nikki Madson | 5201044 | IsPrimaryDep | 0 → 1 |
| 026185843 | Padilla, Nikki Madson | 5201509 | IsPrimaryDep | 1 → 0 |
| 23141 | Posselt, Andrew Mark | 1100151 | IsPrimaryDep | 0 → 1 |
| 23141 | Posselt, Andrew Mark | 5201118 | IsPrimaryDep | 1 → 0 |
| 152209 | Radford, James Anthony | 1100005 | IsPrimaryDep | 0 → 1 |
| 152209 | Radford, James Anthony | 5201532 | IsPrimaryDep | 1 → 0 |
| 100384 | Rapoport, Rebecca Erin | 20206014 | IsPrimaryDep | 1 → 0 |
| 100384 | Rapoport, Rebecca Erin | 5201517 | IsPrimaryDep | 0 → 1 |
| 87464 | Ricardo Gonzalez, Roberto Rafael | 2030016 | IsPrimaryDep | 1 → 0 |
| 87464 | Ricardo Gonzalez, Roberto Rafael | 5201388 | IsPrimaryDep | 0 → 1 |
| 128017 | Rose, Lisa Anne | 20212026 | IsPrimaryDep | 1 → 0 |
| 128017 | Rose, Lisa Anne | 20215002 | IsPrimaryDep | 0 → 1 |
| 021389010 | Rosenblatt, Margalit | 2000055 | IsPrimaryDep | 1 → 0 |
| 021389010 | Rosenblatt, Margalit | 9010195 | IsPrimaryDep | 0 → 1 |
| 80180 | Rosow, Laura Katherine | 5201160 | IsPrimaryDep | 0 → 1 |
| 80180 | Rosow, Laura Katherine | 5201286 | IsPrimaryDep | 1 → 0 |
| 158084 | Shah, Akash | 5601098 | IsPrimaryDep | 0 → 1 |
| 158084 | Shah, Akash | 5601112 | IsPrimaryDep | 1 → 0 |
| 133875 | Shapiro, Lauren M | 3010005 | Provider Name | Shapiro, Lauren Michelle → Shapiro, Lauren M |
| 133875 | Shapiro, Lauren M | 9010276 | Provider Name | Shapiro, Lauren Michelle → Shapiro, Lauren M |
| 47580 | Shimano, Kristin Ammon | 5201048 | IsPrimaryDep | 0 → 1 |
| 47580 | Shimano, Kristin Ammon | 5201050 | IsPrimaryDep | 1 → 0 |
| 91874 | Tran, Xuananh Pham | 6901001 | IsPrimaryDep | 0 → 1 |
| 91874 | Tran, Xuananh Pham | 6901002 | IsPrimaryDep | 1 → 0 |
| 029185220 | Velez, Christine M | 20223001 | Provider Name | Velez, Christine → Velez, Christine M |
| 029185220 | Velez, Christine M | 20232001 | Provider Name | Velez, Christine → Velez, Christine M |
| 122862 | Watkins, Rhonda A | 20206028 | IsPrimaryDep | 1 → 0 |
| 122862 | Watkins, Rhonda A | 20212012 | IsPrimaryDep | 0 → 1 |
| 026634733 | Weber, Robert Joseph | 1100074 | IsPrimaryDep | 0 → 1 |
| 026634733 | Weber, Robert Joseph | 9010360 | IsPrimaryDep | 1 → 0 |