Active NPI
Emma Claire Boda
- Pediatrics Physician
- Burbank, CA
National Provider Identifier
1063169696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- PA62963
- Practice address
- 191 S Buena Vista St Ste 240
Burbank, CA 91505-4559 - Phone
- (818) 557-7278
- Fax
- (818) 557-1603
- NPI assigned
- Mar 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | PA62963 | CA | Primary |
Addresses
Primary practice location
191 S Buena Vista St Ste 240
Burbank, CA 91505-4559
Mailing address
191 S Buena Vista St Ste 240
Burbank, CA 91505-4559
Phone (818) 557-7278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA62963 | CA | MD | Pediatrics Physician |
Interoperability endpoints
- emma.boda.p1@direct.lakeside.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1063169696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 S BUENA VISTA ST STE 240",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054559",
"telephone_number": "818-557-7278",
"fax_number": "818-557-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 S BUENA VISTA ST STE 240",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054559",
"telephone_number": "818-557-7278",
"fax_number": "818-557-1603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BODA",
"first_name": "EMMA",
"middle_name": "CLAIRE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "PA62963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.