| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 63862 | Abrams, Donald Ira | 1679530018 | 5201294 | OSHER CC MB 1 | 0 |
| 58887 | Allen, Celeste Langmuir | 1801976642 | 20211001 | BCH OAK FQ MCC HIGH SCHOOL | 0 |
| 120471 | Brodie, Kara Danielle | 1245773456 | 20215004 | BCH OAK BWOOD ENT | 0 |
| 158052 | Colvin, Annelise Alexandra | 1023878808 | 2030003 | DERM RES MZ DIVIS 3 | 1 |
| 132103 | Deering, Laura Jeanne | 1871120584 | 5201286 | NEUROMUSC PARN | 1 |
| 029106473 | Dreisbach, Emily | 1013686823 | 1100005 | URGENT CARE PARN | 1 |
| 115051 | Ha, Nghiem Bao | 1508278813 | 9010180 | LIVER TR SAN MATEO | 0 |
| 152643 | Lewis, Sophia Yenchuan Kuo | 1184249468 | 1100034 | ID PARN | 1 |
| 025440744 | Lin, Kristina | 1518535855 | 5201382 | OPHTH OPTOM PARN | 0 |
| 147026 | Ricklefs, Colbey | 1053948257 | 5201459 | PED ADOL MED PRITZKER | 1 |
| 161713 | Wolf, Alexander J. | 1992327688 | 20206025 | BCH OAK OPC NEPHROLOGY | 1 |
| Provider ID | Provider Name | NPI | DEPARTMENT_ID | DEPARTMENT_NAME | IsPrimaryDep |
|---|---|---|---|---|---|
| 96743 | Cheung, Steven Wan | 1699799122 | 2060009 | OHNS OTOLOGY MZ | 1 |
| 149374 | Cigas-Mazur, Heather A | 1578281879 | 5309044 | REHAB PT MZ 1545 FL1 | 0 |
| 025224940 | Couture, Allison Claire | 1356233043 | 6100020 | CC UCBEYE PRIMARY CARE TC | 1 |
| 10007453 | E5t - Ucbeye Cl Mh, | 6100003 | CC UCBEYE CONTACT LENS MH | 1 | |
| 022298145 | Falk, Margit | 1629413471 | 6002090 | SMH OP PT | 1 |
| 143790 | Favel, Kristen | 1619674504 | 20206025 | BCH OAK OPC NEPHROLOGY | 1 |
| 027323062 | Lam, Sophia | 1386363711 | 6100011 | CC UCBEYE PRIMARY CARE MH | 1 |
| 158763 | Lendway, Rebecca Lorenzana | 1821676446 | 5201041 | PED RENAL MB | 1 |
| 138247 | Matusalem, Justin A | 1720651508 | 9300003 | CC CIP CAL PAC ORTHO CLINIC 715 | 0 |
| 023908932 | Melick, Colin | 5201119 | ORTHOTIC & PROS PARN | 1 | |
| 100081010 | Mh Ortho Arthro Srf Provider, | 5601080 | MH ORTHO ARTHRO SRF | 1 | |
| 025304577 | Michel, Micheline | 7101002 | BTBH SCHEDULING | 1 | |
| 023241466 | Orozco, Isela Lisette | 1720977127 | 6101001 | CC UCBEYE BINOCULAR VISION EMV | 1 |
| 118281 | Osborn, Francesca Leeann | 1336664515 | 5601039 | MH ENDO GB | 0 |
| 77913 | Paul, Brianna M | 1104007673 | 5201074 | PBC EPILEPSY MB | 1 |
| 159369 | Paw, Ivy | 1891354619 | 5201091 | PRIMARY CARE CB BERRY | 0 |
| 028991495 | Sajer, Megan Eileen | 1760370860 | 6101005 | CC UCBEYE PEDS EMV | 1 |
| 151377 | Sataloff, Johnathan Brandon | 1821613662 | 5201446 | PSYCH ADULT PRITZKER | 1 |
| 500000512 | Sm-Mammo1, | 9010289 | RAD MAMMO SAN MATEO | 1 | |
| 152946 | Su, Chang | 1639753650 | 1100027 | ALLERGY PARN | 1 |
| 37220 | Swenson, Sara L | 1609830975 | 1100005 | URGENT CARE PARN | 1 |
| 024385924 | Uyemura, Keith | 1497641096 | 6100003 | CC UCBEYE CONTACT LENS MH | 1 |
| 118639 | Wanjala, Butsina Martha | 1457860470 | 4130002 | GERIATRIC CARE | 1 |
| 152763 | Yada, Keita | 1285490698 | 5309044 | REHAB PT MZ 1545 FL1 | 0 |
| Provider ID | Provider Name | Department ID | Changed Field | Old Value → New Value |
|---|---|---|---|---|
| 10005975 | Bch Oak Opc 4th Floor Treatment Room, | 20206034 | IsPrimaryDep | 0 → 1 |
| 10005975 | Bch Oak Opc 4th Floor Treatment Room, | 20206036 | IsPrimaryDep | 1 → 0 |
| 92206 | Bernal, William Enrique | 5201042 | IsPrimaryDep | 0 → 1 |
| 92206 | Bernal, William Enrique | 5201102 | IsPrimaryDep | 1 → 0 |
| 72212 | Botvinick, Elias H. | 1100065 | IsPrimaryDep | 1 → 0 |
| 72212 | Botvinick, Elias H. | 3050001 | IsPrimaryDep | 0 → 1 |
| 136619 | Cengiz, Eda | 20206013 | IsPrimaryDep | 1 → 0 |
| 136619 | Cengiz, Eda | 3010036 | IsPrimaryDep | 0 → 1 |
| 40869 | Chang, Wileen | 2040001 | IsPrimaryDep | 1 → 0 |
| 40869 | Chang, Wileen | 5307001 | IsPrimaryDep | 0 → 1 |
| 127975 | Denny, Nicole Elizabeth | 20206018 | IsPrimaryDep | 0 → 1 |
| 127975 | Denny, Nicole Elizabeth | 20212026 | IsPrimaryDep | 1 → 0 |
| 10000239 | Dermacd Derm, | 5201387 | IsPrimaryDep | 1 → 0 |
| 10000239 | Dermacd Derm, | 9010243 | IsPrimaryDep | 0 → 1 |
| 128377 | Foote, Sheri L | 2050006 | IsPrimaryDep | 1 → 0 |
| 128377 | Foote, Sheri L | 5201032 | IsPrimaryDep | 0 → 1 |
| 111686 | Gallagher, Theresa Lee | 7900005 | IsPrimaryDep | 0 → 1 |
| 111686 | Gallagher, Theresa Lee | 7900042 | IsPrimaryDep | 1 → 0 |
| 50000134 | Hns And Fna Mb, | 5308003 | IsPrimaryDep | 0 → 1 |
| 50000134 | Hns And Fna Mb, | 9000089 | IsPrimaryDep | 1 → 0 |
| 42978 | Holt, Elizabeth Hopkins | 2000082 | IsPrimaryDep | 1 → 0 |
| 42978 | Holt, Elizabeth Hopkins | 5201521 | IsPrimaryDep | 0 → 1 |
| 64030 | Huang, James | 5201174 | IsPrimaryDep | 1 → 0 |
| 64030 | Huang, James | 9010220 | IsPrimaryDep | 0 → 1 |
| 027203827 | Kelly, Catherine | 6002108 | IsPrimaryDep | 0 → 1 |
| 027203827 | Kelly, Catherine | 8001035 | 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 |
| 104111 | Lester, Jenna | 2030016 | IsPrimaryDep | 0 → 1 |
| 104111 | Lester, Jenna | 9010242 | IsPrimaryDep | 1 → 0 |
| 025351545 | Ly, Jennifer | 5201450 | IsPrimaryDep | 0 → 1 |
| 025351545 | Ly, Jennifer | 5201455 | IsPrimaryDep | 1 → 0 |
| 69394 | Ly, Ngoc P | 5201043 | IsPrimaryDep | 0 → 1 |
| 69394 | Ly, Ngoc P | 9010076 | IsPrimaryDep | 1 → 0 |
| 41717 | Mahoney, Megan Ruth | 3010029 | IsPrimaryDep | 1 → 0 |
| 41717 | Mahoney, Megan Ruth | 4030002 | IsPrimaryDep | 0 → 1 |
| 116213 | Michael, Rebecca L | 2020005 | IsPrimaryDep | 1 → 0 |
| 116213 | Michael, Rebecca L | 5201466 | IsPrimaryDep | 0 → 1 |
| 58517 | Miller, Jennifer Anne | 4900001 | IsPrimaryDep | 0 → 1 |
| 58517 | Miller, Jennifer Anne | 4900002 | IsPrimaryDep | 1 → 0 |
| 145313 | Monico, Evelyn Carolina | 20212048 | IsPrimaryDep | 0 → 1 |
| 145313 | Monico, Evelyn Carolina | 5201527 | IsPrimaryDep | 1 → 0 |
| 48015 | Olson, Jennifer Ann | 20206013 | IsPrimaryDep | 1 → 0 |
| 48015 | Olson, Jennifer Ann | 20212003 | IsPrimaryDep | 0 → 1 |
| 152989 | Park, Nicola | 5201442 | IsPrimaryDep | 1 → 0 |
| 152989 | Park, Nicola | 5201446 | IsPrimaryDep | 0 → 1 |
| 115531 | Perez, Alyssa Anne | 1100118 | IsPrimaryDep | 1 → 0 |
| 115531 | Perez, Alyssa Anne | 1100148 | IsPrimaryDep | 0 → 1 |
| 87089 | Qasim, Atif Nazier | 3050001 | IsPrimaryDep | 1 → 0 |
| 87089 | Qasim, Atif Nazier | 5201513 | IsPrimaryDep | 0 → 1 |
| 151635 | Ramadas, Ramya S. | 20207003 | IsPrimaryDep | 0 → 1 |
| 151635 | Ramadas, Ramya S. | 20208001 | IsPrimaryDep | 1 → 0 |
| 118497 | Sabharwal, Sanjeev | 20206028 | IsPrimaryDep | 1 → 0 |
| 118497 | Sabharwal, Sanjeev | 20212012 | IsPrimaryDep | 0 → 1 |
| 107320 | Taft, Bonnie Perpetua | 5201044 | IsPrimaryDep | 1 → 0 |
| 107320 | Taft, Bonnie Perpetua | 5201509 | IsPrimaryDep | 0 → 1 |
| 83577 | Theologis, Alexander Antonios | 1100125 | IsPrimaryDep | 1 → 0 |
| 83577 | Theologis, Alexander Antonios | 9010157 | IsPrimaryDep | 0 → 1 |
| 021346697 | Walter, Breanne Kelly | 20212012 | IsPrimaryDep | 1 → 0 |
| 021346697 | Walter, Breanne Kelly | 20243013 | IsPrimaryDep | 0 → 1 |
| 117384 | Wilson, Alix Mackenzie | 20206028 | IsPrimaryDep | 0 → 1 |
| 117384 | Wilson, Alix Mackenzie | 20212012 | IsPrimaryDep | 1 → 0 |
| 45578 | Wu, Ava Jani | 3201001 | IsPrimaryDep | 0 → 1 |
| 45578 | Wu, Ava Jani | 6100026 | IsPrimaryDep | 1 → 0 |
| 139625 | Zappas-Levy, Katerina A | 5601003 | IsPrimaryDep | 1 → 0 |
| 139625 | Zappas-Levy, Katerina A | 5601038 | IsPrimaryDep | 0 → 1 |