The weekly National Plan and Provider Enumeration System(NPPES) database release went down compared to the previous one. NPI database changes in this weekly update have the following details: 4,920 Organization updates, 10,501 individual updates and 299 deactivations. California is the leading state this week with 1,649. New York follows in second place.New York, with 240 updates remains the leading city this week from the 1,439 updates of the top ten cities.