Individual provider Active NPI

Emma Annapurna Birur, RN, PHN

  • School Registered Nurse
  • Fremont, CA
National Provider Identifier
1174493506
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
210129207 Issued in CA
Practice address
2601 Parkside Dr
Fremont, CA 94536-5246
Phone
(510) 793-7492
NPI assigned
Nov 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95100421 CA
Community Health Registered Nurse 163WC1500X 557618 CA
School Registered Nurse 163WS0200X 210129207 CA Primary

Addresses

Primary practice location

2601 Parkside Dr
Fremont, CA 94536-5246

Mailing address

2601 Parkside Dr
Fremont, CA 94536-5246
Phone (510) 793-7492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95100421CAMDRegistered Nurse
557618CAMDCommunity Health Registered Nurse
210129207CAMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
City of Fremont CurrentSince Nov 18, 2025 Accepting new patients

Locations

2601 Parkside Dr
Fremont, CA 94536
Phone (510) 793-7492

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1174493506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 PARKSIDE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365246",
            "telephone_number": "510-793-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 PARKSIDE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365246",
            "telephone_number": "510-793-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRUR",
        "first_name": "EMMA",
        "middle_name": "ANNAPURNA",
        "name_prefix": "Ms.",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95100421",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "557618",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "210129207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.