The latest weekly update have jumped to 1,218 records. NPI database changes in this weekly update have the following details: 4,315 Organization updates, 10,237 individual updates and 345 deactivations. 
Philadelphia, with 188 updates is the new leading city this week from the 1,269 updates of the top ten cities. In the last update, Houston was the leading city with 228 updates. California is the leading state this week with 1,572 updates remains the leading state of the 14,897 updates.
