Provider Department Changes — 20260730 → 20260731

Provider ID	Provider Name	NPI	DEPARTMENT_ID	DEPARTMENT_NAME	IsPrimaryDep
026571059	Chan, Monica		9010184	CANCER CENTER SAN MATEO	0
124404	Nguyen, Andy An Phuoc	1750831228	20212030	BCH OAK WC RHEUMATOLOGY	0
10006602	Ohns Gen Nurse Rws,		9010273	OHNS GEN OTOL RWS	1
026265421	Rocha, Betty		7105002	HOME HEALTH SCHEDULING	1
85204	Ross, Javay Monique	1689960700	20211001	BCH OAK FQ MCC HIGH SCHOOL	0
025093022	Tudhope, Tudhope		7105002	HOME HEALTH SCHEDULING	1

Provider ID	Provider Name	NPI	DEPARTMENT_ID	DEPARTMENT_NAME	IsPrimaryDep
10007549	After Hours Clinic Ucbeye Pc Mh,		6100011	CC UCBEYE PRIMARY CARE MH	1
023321896	Barbane, Cheryl		20206021	BCH OAK OPC GASTROENTEROLOGY	1
11253	Esserman, Laura J.	1679537971	5201274	BREAST SURG ONC MB 3	1
11253	Esserman, Laura J.	1679537971	5311001	ADULT INFUSION CNT MB3	0
23955	Goldschmid, David	1831137025	5601017	MH PRMRY CARE SRF	1
10007645	Hematology Provider,		20206023	BCH OAK OPC GENERAL HEMATOLOGY	1
022474530	Hirsch, Scott Daniel	1568995918	20215004	BCH OAK BWOOD ENT	0
109270	Hoang, Von	1275921223	5201208	HEREDITARY CANCER MB 3	0
147025	Ignatova, Elizaveta	1669009833	5201459	PED ADOL MED PRITZKER	1
021302930	Kaatz, Stephanie		20206038	BCH OAK OPC NUTRITION	0
026630954	Komp, Amelia Teresa	1477951564	9010273	OHNS GEN OTOL RWS	1
1007027	New Patient Navigator Bch Oak Opc Bmt,		20206035	BCH OAK OPC BONE MARROW TRANS	1
10007644	Oncology Provider,		20206042	BCH OAK OPC ONCOLOGY	1
023241466	Orozco, Isela Lisette	1720977127	6101004	CC UCBEYE SPORTS VISION EMV	0
1000669	Rws Aud Walk-In,		9010272	AUDIOLOGY RWS	1
028991495	Sajer, Megan Eileen	1760370860	6101003	CC UCBEYE SVACH EMV	0
158631	Sajjadi, Autefeh Sadat	1154941771	9010124	OHNS FACIAL PLAS SURG MZ	1
38273	Sang, Helen L	1629229406	5309038	REHAB PED OP OT MB	1
150289	Schuster, Sheeja T	1679912828	5601041	MH PULMONOLOGY LKSLND	1
41200	Tsoh, Janice Y.	1952327132	5201446	PSYCH ADULT PRITZKER	1
026790295	Wakeling, Adrienne Miller	1508220807	5201195	CANCER GENETICS MB 6	0
99871	Yee, Alice	1194985879	5601001	MH PRMRY CARE LKSLND	1

Provider ID	Provider Name	Department ID	Changed Field	Old Value → New Value
021452875	Ball, Mari	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
145417	Bass, Olivia	5201057	Phone	415-353-2560 → 415-353-2020
51713	Brook, Michael M	4060004	IsPrimaryDep	1 → 0
51713	Brook, Michael M	9010217	IsPrimaryDep	0 → 1
024349326	Chaban, Charissa	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
120299	Chen, Tiffany Ann	5201057	Phone	415-353-2560 → 415-353-2020
020188223	Commer, Patricia	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
025201716	Craft, Katie S	20206013	IsPrimaryDep	0 → 1
025201716	Craft, Katie S	3010036	IsPrimaryDep	1 → 0
025882432	Daniel, Saige Andrea	1100030	IsPrimaryDep	1 → 0
025882432	Daniel, Saige Andrea	1100073	IsPrimaryDep	0 → 1
57554	De Alba Campomanes, Alejandra G	5201057	Phone	415-353-2560 → 415-353-2020
020164380	Devgan, Arvind	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
163016	Doan Nguyen, William	5201057	Phone	415-353-2560 → 415-353-2020
111686	Gallagher, Theresa Lee	7900005	IsPrimaryDep	0 → 1
111686	Gallagher, Theresa Lee	7900042	IsPrimaryDep	1 → 0
24479	Gamburd, Robert Steven	1100018	IsPrimaryDep	1 → 0
24479	Gamburd, Robert Steven	9010283	IsPrimaryDep	0 → 1
147782	Hage, Rabih	5201057	Phone	415-353-2560 → 415-353-2020
023362072	Hajkazemshirazi, Leila	5201057	Phone	415-353-2560 → 415-353-2020
025937178	Halverson, Kristine	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
028385656	Harb, Elise Noel	5201057	Phone	415-353-2560 → 415-353-2020
028385656	Harb, Elise Noel	5201593	Phone	415-353-2560 → 415-353-2020
022290159	Heath-Wallace, Darcy	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
51323	Horton, Jonathan C.	5201057	Phone	415-353-2560 → 415-353-2020
92860	Indaram, Maanasa	5201057	Phone	415-353-2560 → 415-353-2020
162434	Jaeel, Lakshmisahithi Rani	5201057	Phone	415-353-2560 → 415-353-2020
162434	Jaeel, Lakshmisahithi Rani	5201593	Phone	415-353-2560 → 415-353-2020
153087	Joyce, Mercy	20206046	IsPrimaryDep	1 → 0
153087	Joyce, Mercy	5201042	IsPrimaryDep	0 → 1
57802	Keeffe, Brian G	5601037	IsPrimaryDep	1 → 0
57802	Keeffe, Brian G	5601087	IsPrimaryDep	0 → 1
84048	Klein, Liviu	9010376	DEP Address	1444 FLORIDA AVE STE 100 → 1444 FLORIDA AVE STE 103
020829636	Lalchandani, Gopal Ram	20212012	IsPrimaryDep	0 → 1
020829636	Lalchandani, Gopal Ram	9010160	IsPrimaryDep	1 → 0
027743244	Loumeau, Michael	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
023633878	Mackenzie, Jennifer	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
10002335	Orthoptist,	5201057	Phone	415-353-2560 → 415-353-2020
10002823	Peds Opthalmology Faculty Mb,	5201057	Phone	415-353-2560 → 415-353-2020
10006619	Peds Optometry,	5201057	Phone	415-353-2560 → 415-353-2020
115531	Perez, Alyssa Anne	1100118	IsPrimaryDep	0 → 1
115531	Perez, Alyssa Anne	9010211	IsPrimaryDep	1 → 0
10002213	Photography Tech Mb,	5201057	Phone	415-353-2560 → 415-353-2020
10004760	Resource,	5201057	Phone	415-353-2560 → 415-353-2020
147089	Rinne, Nicole N.	2040014	IsPrimaryDep	1 → 0
147089	Rinne, Nicole N.	5201526	IsPrimaryDep	0 → 1
029394178	Rodriguez, Ernest	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
85204	Ross, Javay Monique	20207003	IsPrimaryDep	1 → 0
85204	Ross, Javay Monique	89000000	IsPrimaryDep	0 → 1
028986578	Rust, Kevin	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
029100468	Rust, Meghann	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
028991495	Sajer, Megan Eileen	6100020	IsPrimaryDep	0 → 1
028991495	Sajer, Megan Eileen	6101005	IsPrimaryDep	1 → 0
61662	Sethi, Rajiv	1100125	Provider Name	Sethi, Rajiv Kumar → Sethi, Rajiv
026931550	Snider, Elizabeth	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
10002212	Visual Field Tech Mb,	5201057	Phone	415-353-2560 → 415-353-2020
024537797	Warren, Joyce	8001064	DEP Address	1777 BOTELHO DR STE 110 → 1777 BOTELHO DR STE 115
87589	Zapata, Carly Suzanne	5201168	IsPrimaryDep	0 → 1
87589	Zapata, Carly Suzanne	5201197	IsPrimaryDep	1 → 0
139625	Zappas-Levy, Katerina A	5601003	IsPrimaryDep	0 → 1
139625	Zappas-Levy, Katerina A	5601038	IsPrimaryDep	1 → 0

Provider Department Changes — 20260730 → 20260731

➕ Added Provider-Department Associations (6)

➖ Removed Provider-Department Associations (22)

🔄 Modified Entries (61)