The weekly National Plan and Provider Enumeration System(NPPES) database release have climbed to 402 records. NPI database changes in this weekly update have the following details: 3,356 Organization updates, 11,305 individual updates and 318 deactivations. California is the leading state this week with 1,712 updates of the 14,979 updates. Florida follows in second place with 971 updates. New York, with 176 updates remains the leading city this week from the 1,298 updates of the top ten cities.