The weekly National Plan and Provider Enumeration System(NPPES) database release have climbed to 26 records. NPI database changes in this weekly update have the following details: 3,798 Organization updates, 15,165 individual updates and 311 deactivations. California is the leading state this week with 2,136 updates of the 19,274 updates. New York follows in second place. New York, with 315 updates is the new leading city this week followed by Brooklyn. In the last update, Albuquerque was the leading city.