This weeks' update had less updates that the previous one. The total number of NPI updates encompasses the following: 3,331 Organization updates, 10,539 individual updates and 519 deactivations. Saint Louis, with 355 updates is the new leading city this week from the 1,770 updates of the top ten cities. California, with 1,504 updates remains the leading state this week from the 7,808 updates of the top ten States.