| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 025291881 | Bell Ii, Anthony Kenneth | 1740860956 | 9020749 | POP HLTH COMM OUTREACH | 0 |
| 152696 | Cavanaugh, Morgan | 1932960986 | 9300001 | CC CIP CAL PAC ORTHO CLINIC 108 | 0 |
| 72171 | Durr, Megan Leigh | 1790012839 | 5201525 | OHNS GEN OTOL BAYFRONT | 0 |
| 80101 | Fernandez, Sabrina R. S. | 1053543249 | 9020749 | POP HLTH COMM OUTREACH | 0 |
| 106321 | Indukuri, Sushma | 1437527348 | 7500000 | CC UBCP TRIVLY PED PLS | 1 |
| 028888139 | Johnson, Marshall | 7105002 | HOME HEALTH SCHEDULING | 1 | |
| 136392 | Nguyen, Jenny T. | 1033792759 | 9020749 | POP HLTH COMM OUTREACH | 0 |
| 10006733 | Patient Coordinator Surg Spec Pod 3, | 9000400 | UCSF HEALTH CONTACT CENTER | 1 | |
| 92835 | Tsai, Katy Kaiju | 1417275827 | 5201503 | CITE CLINIC MB 3 | 0 |
| 165049 | Twist, Joanna Louise | 1437808151 | 2030015 | DERM PEDS MZ DIVIS 3 | 1 |
| 10006749 | Vaccine Provider, | 9020749 | POP HLTH COMM OUTREACH | 1 | |
| 023138712 | Vianzon, Reynaldo | 7105002 | HOME HEALTH SCHEDULING | 1 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 028876506 | Augustine, Isabella | 3202010 | SOD GEN DENT PARN | 1 | |
| 10008562 | B10t - Ucbeye Pc Mh, | 6100011 | CC UCBEYE PRIMARY CARE MH | 1 | |
| 027510163 | Chan, Eunice | 20205012 | BCH OAK CCP THERAPY | 1 | |
| 138168 | Chen, Xialing Ann | 1588242424 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 024976516 | Chen, Yishui | 1619546884 | 2040019 | SLEEP DISORDER MZ | 1 |
| 147044 | Corral, Nakai | 1144804287 | 5201450 | PSYCH PEDS PRITZKER | 0 |
| 029328838 | Corral-Pratt, Ma | 7101002 | BTBH SCHEDULING | 1 | |
| 154903 | Deo Campo, Rachel Cathleen | 1922579994 | 2030004 | GEN MED MZ 1701 | 0 |
| 025238965 | Dolan, Sarah | 5201452 | PSYCH EAT DIS PRITZKER | 1 | |
| 025488990 | Elbaum, Alan | 1245971365 | 5201446 | PSYCH ADULT PRITZKER | 0 |
| 140863 | Encarnacion, Marysol | 1790425395 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 024458424 | Fabiyi, Simiade | 3202011 | SOD PROSTH PARN | 1 | |
| 87461 | Fassett, Marlys Susan | 1972898799 | 5201528 | DERM BAYFRONT | 0 |
| 025469958 | Fissinger, Alexis | 5201043 | PED PULMONARY MB | 0 | |
| 147045 | Fox, Kieran | 1245925916 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 147966 | Garza, Eduardo | 1760986087 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 029402385 | Han, Jasmine Eunjung | 1083403729 | 3202010 | SOD GEN DENT PARN | 0 |
| 025948076 | Hasan, Umer | 1598529976 | 3202001 | SOD PED DENT PARN | 1 |
| 57588 | Hebshi, Leila D. | 1073727004 | 2040019 | SLEEP DISORDER MZ | 1 |
| 109270 | Hoang, Von | 1275921223 | 5201207 | HEREDITARY CANCER MB 6 | 0 |
| 029478955 | Howe, Maura Anne | 1689009995 | 5201040 | PED GI MB | 1 |
| 158054 | Htet, Kyaw Zin | 1821799669 | 2030003 | DERM RES MZ DIVIS 3 | 1 |
| 131523 | Hu, Rebecca | 1235766536 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 023523889 | Huynh, Emily | 3202010 | SOD GEN DENT PARN | 1 | |
| 146688 | Jamerson, Taylor Alyse | 1013659754 | 2030003 | DERM RES MZ DIVIS 3 | 1 |
| 147051 | Justen, Marissa Ashley | 1861182818 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 143158 | Kieschnick, Dustin Wayne | 1154090017 | 5201456 | PSYCH WFTP PRITZKER | 1 |
| 141578 | King, Jennifer | 1205385267 | 9010157 | ORTHO SPINE BOPC | 0 |
| 154368 | Kulkarni, Prajakta Shreeram | 1669966016 | 3202011 | SOD PROSTH PARN | 1 |
| 147052 | Leon, Jacqueline Annette | 1558979393 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 147053 | Li, Jason J | 1649965625 | 5201446 | PSYCH ADULT PRITZKER | 0 |
| 027949965 | Macapagal, Pamela | 20206007 | BCH OAK OPC CARDIOLOGY | 1 | |
| 145565 | Madhavan, Anuradha | 1679034201 | 2030022 | GI MZ | 1 |
| 140865 | Mata, Christina | 1942940432 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 152769 | Mcdonald, Jennifer Rachel | 1578147179 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 158327 | Mcquilla, Jai Brenay | 1932789708 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 40286 | Melisko, Michelle Elizabeth | 1306803812 | 9010306 | BREAST MED ONC SAN MATEO | 0 |
| 027488477 | Mixter, Hannah | 3202012 | SOD ENDODONTICS PARN POST GRAD | 1 | |
| 023503964 | Nguyen, Uyen | 3202011 | SOD PROSTH PARN | 1 | |
| 025769019 | Nikghalb, Keyvan | 3202012 | SOD ENDODONTICS PARN POST GRAD | 1 | |
| 151877 | Nova, Sloan Jade | 1306206065 | 5201449 | PSYCH AUTISM PRITZKER | 0 |
| 10000896 | Nurse Fps Ucsf, | 9010124 | OHNS FACIAL PLAS SURG MZ | 1 | |
| 141394 | Okobi, Margaret | 1912648130 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 023241466 | Orozco, Isela Lisette | 1720977127 | 6100011 | CC UCBEYE PRIMARY CARE MH | 0 |
| 147006 | Osbourne, Appledene Samantha | 1164059143 | 1100068 | RHEUM PARN | 1 |
| 146690 | Patrick, Garrett James | 1104333533 | 2030003 | DERM RES MZ DIVIS 3 | 0 |
| 029741618 | Percelay, Rachel | 1285214718 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 131892 | Platt, Anya Lia Eden Reinin | 1699302257 | 5201049 | PED ONCOLOGY MB | 1 |
| 138025 | Reilly, Erin Elizabeth | 1043672959 | 5201452 | PSYCH EAT DIS PRITZKER | 1 |
| 025813379 | Reodica, Enrique A | 3202010 | SOD GEN DENT PARN | 0 | |
| 43809 | Rose, Demian Dana | 1083642342 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 136237 | Ross, Katherine Salome | 1649831496 | 9010210 | CANCER CENTER GENETICS BOPC | 0 |
| 140920 | Shah, Aloukika Pramit | 1972243624 | 5201393 | GEN MED MZ WM | 1 |
| 026926329 | Shah, Shilpi | 3202011 | SOD PROSTH PARN | 1 | |
| 022518112 | Tam, Chi Ho Eric | 3202010 | SOD GEN DENT PARN | 1 | |
| 156108 | Tanenbaum, Rebecca Elyse | 1225610462 | 5201057 | OPHTH PED MB | 1 |
| 146854 | Teng, Allison | 1881398667 | 2040009 | PED PRIMARY MZ | 1 |
| 021909510 | Tong, Angelina | 3202007 | SOD ENDODONTICS PARN | 0 | |
| 021909510 | Tong, Angelina | 3202012 | SOD ENDODONTICS PARN POST GRAD | 1 | |
| 47209 | Tuft, Melissa Shelly | 1447387535 | 3202013 | SOD GEN DENT PARN FACULTY | 1 |
| 156412 | Udawatta, Methma Harindi | 1467038414 | 5201161 | MS WEILL | 1 |
| 10008313 | Video Eeg Tech, | 1000202 | NEURODIAGNOSTIC SERVICES | 1 | |
| 024405995 | Viets, Helena | 3202009 | SOD PERIODONTAL SPECIALTY PARN | 1 | |
| 160739 | Wendling, Joshua J | 1841869252 | 1100018 | NEURO SPINE PARN 2 | 1 |
| 135953 | Williams, Matthew Craig | 1326626797 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 152992 | Wu, Ashley | 1134705809 | 5201450 | PSYCH PEDS PRITZKER | 1 |
| 156366 | Yan, Priscilla | 1356920649 | 2020005 | HEADACHE MZ | 1 |
| 028061620 | Young, Kristen | 3202009 | SOD PERIODONTAL SPECIALTY PARN | 1 | |
| 83334 | Young, Natalie Chen | 1780974428 | 5201199 | SYMPTOM MGMNT MB 6 | 0 |
| 020567269 | Zhang, Franklin | 1225804669 | 3202001 | SOD PED DENT PARN | 1 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 140886 | Conn, Stephen | 1090021 | IsPrimaryDep | 1 → 0 |
| 140886 | Conn, Stephen | 1100034 | IsPrimaryDep | 0 → 1 |
| 111686 | Gallagher, Theresa Lee | 7900005 | IsPrimaryDep | 1 → 0 |
| 111686 | Gallagher, Theresa Lee | 7900042 | IsPrimaryDep | 0 → 1 |
| 42978 | Holt, Elizabeth Hopkins | 2000082 | IsPrimaryDep | 0 → 1 |
| 42978 | Holt, Elizabeth Hopkins | 5201521 | IsPrimaryDep | 1 → 0 |
| 64030 | Huang, James | 5201048 | IsPrimaryDep | 0 → 1 |
| 64030 | Huang, James | 5201174 | IsPrimaryDep | 1 → 0 |
| 145961 | Jeno, Mary Elizabeth | 20206011 | IsPrimaryDep | 1 → 0 |
| 145961 | Jeno, Mary Elizabeth | 20215001 | IsPrimaryDep | 0 → 1 |
| 028888139 | Johnson, Marshall | 7101002 | IsPrimaryDep | 1 → 0 |
| 57802 | Keeffe, Brian G | 5601037 | IsPrimaryDep | 0 → 1 |
| 57802 | Keeffe, Brian G | 5601087 | IsPrimaryDep | 1 → 0 |
| 108435 | Krystal, Andrew Darrell | 5201446 | IsPrimaryDep | 0 → 1 |
| 108435 | Krystal, Andrew Darrell | 5201448 | IsPrimaryDep | 1 → 0 |
| 020829636 | Lalchandani, Gopal Ram | 20212012 | IsPrimaryDep | 1 → 0 |
| 020829636 | Lalchandani, Gopal Ram | 9010160 | IsPrimaryDep | 0 → 1 |
| 69840 | Laroque, Elly Susannah | 3010009 | IsPrimaryDep | 0 → 1 |
| 69840 | Laroque, Elly Susannah | 9010279 | IsPrimaryDep | 1 → 0 |
| 144942 | Lee, Matthew Hyun Joon | 50102002 | IsPrimaryDep | 0 → 1 |
| 144942 | Lee, Matthew Hyun Joon | 9010184 | IsPrimaryDep | 1 → 0 |
| 104111 | Lester, Jenna | 2030016 | IsPrimaryDep | 1 → 0 |
| 104111 | Lester, Jenna | 9010242 | IsPrimaryDep | 0 → 1 |
| 147558 | Lu, Jonathan Erik | 5201309 | IsPrimaryDep | 0 → 1 |
| 147558 | Lu, Jonathan Erik | 9010152 | IsPrimaryDep | 1 → 0 |
| 41717 | Mahoney, Megan Ruth | 3010029 | IsPrimaryDep | 0 → 1 |
| 41717 | Mahoney, Megan Ruth | 4030002 | IsPrimaryDep | 1 → 0 |
| 145275 | Mann, Douglas G. | 7900000 | IsPrimaryDep | 0 → 1 |
| 145275 | Mann, Douglas G. | 7900003 | IsPrimaryDep | 1 → 0 |
| 153532 | Nevsimal, Rachael | 5309020 | IsPrimaryDep | 0 → 1 |
| 153532 | Nevsimal, Rachael | 5309030 | IsPrimaryDep | 1 → 0 |
| 134500 | Panek, David Seth | 20206029 | IsPrimaryDep | 0 → 1 |
| 134500 | Panek, David Seth | 5201043 | IsPrimaryDep | 1 → 0 |
| 57349 | Pickering, Courtney Wedl | 4900001 | IsPrimaryDep | 1 → 0 |
| 57349 | Pickering, Courtney Wedl | 4900002 | IsPrimaryDep | 0 → 1 |
| 138025 | Reilly, Erin Elizabeth | 5201446 | IsPrimaryDep | 0 → 1 |
| 118497 | Sabharwal, Sanjeev | 20206028 | IsPrimaryDep | 0 → 1 |
| 118497 | Sabharwal, Sanjeev | 20212012 | IsPrimaryDep | 1 → 0 |
| 028991495 | Sajer, Megan Eileen | 6100020 | IsPrimaryDep | 1 → 0 |
| 028991495 | Sajer, Megan Eileen | 6101005 | IsPrimaryDep | 0 → 1 |
| 145465 | Sidhom, Alexander Niazi | 8600002 | IsPrimaryDep | 0 → 1 |
| 145465 | Sidhom, Alexander Niazi | 8600005 | IsPrimaryDep | 1 → 0 |
| 162989 | Smith Jr., Donald Ray | 50100004 | IsPrimaryDep | 1 → 0 |
| 162989 | Smith Jr., Donald Ray | 50100013 | IsPrimaryDep | 0 → 1 |
| 83577 | Theologis, Alexander Antonios | 1100125 | IsPrimaryDep | 0 → 1 |
| 83577 | Theologis, Alexander Antonios | 9010157 | IsPrimaryDep | 1 → 0 |
| 026802389 | Trinh, Thao Chau Thuy | 20206013 | Provider Name | Trinh, Thao-Chau → Trinh, Thao Chau Thuy |
| 026802389 | Trinh, Thao Chau Thuy | 20206013 | Title | → PSYD |
| 158249 | Turkiewicz, Joanna Victoria | 1100038 | IsPrimaryDep | 0 → 1 |
| 158249 | Turkiewicz, Joanna Victoria | 1100073 | IsPrimaryDep | 1 → 0 |
| 026943332 | Vivero, Christian P | 3010013 | IsPrimaryDep | 0 → 1 |
| 026943332 | Vivero, Christian P | 5309016 | IsPrimaryDep | 1 → 0 |
| 117384 | Wilson, Alix Mackenzie | 20206028 | IsPrimaryDep | 1 → 0 |
| 117384 | Wilson, Alix Mackenzie | 20212012 | IsPrimaryDep | 0 → 1 |
| 026606376 | Yepes Correa, Edgar Adrian | 5201439 | IsPrimaryDep | 0 → 1 |
| 026606376 | Yepes Correa, Edgar Adrian | 5201443 | IsPrimaryDep | 1 → 0 |
| 026310532 | Yu, Huong | 9010202 | IsPrimaryDep | 0 → 1 |
| 026310532 | Yu, Huong | 9010204 | IsPrimaryDep | 1 → 0 |
| 87589 | Zapata, Carly Suzanne | 5201168 | IsPrimaryDep | 1 → 0 |
| 87589 | Zapata, Carly Suzanne | 5201197 | IsPrimaryDep | 0 → 1 |