Active NPI
Ebonique Thomson, FNP
- Family Nurse Practitioner
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 223100
- Practice address
- 511 N Hollywood Way
Burbank, CA 91505-3406 - Phone
- (866) 389-2727
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11020262 | FL | |
| Family Nurse Practitioner | 363LF0000X | AP70034986 | WA | |
| Family Nurse Practitioner | 363LF0000X | 95034838 | CA | |
| Family Nurse Practitioner | 363LF0000X | 0004395 | CO | |
| Family Nurse Practitioner | 363LF0000X | 346264 | NY | |
| Family Nurse Practitioner | 363LF0000X | 10014312 | OR | |
| Family Nurse Practitioner | 363LF0000X | 862214 | NV | |
| Family Nurse Practitioner | 363LF0000X | 225873 | OK | |
| Family Nurse Practitioner | 363LF0000X | 223100 | AZ | Primary |
Addresses
Primary practice location
511 N Hollywood Way
Burbank, CA 91505-3406
Mailing address
511 N Hollywood Way
Burbank, CA 91505-3406
Phone (866) 389-2727
Other practice location 1
2760 Fletcher Pkwy
El Cajon, CA 92020-2110
Phone (866) 389-2727
Other practice location 2
14330 Culver Dr
Irvine, CA 92604-0303
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NV, OR, FL, CA, RI, OK, CO, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 9
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
250 Skillman St
Suite 204
Brooklyn, NY 11205-4812
3742 W 2150
Suite 150
Lehi, UT 84048-7802
7500 N Dreamy Draw Dr
Suite 100
Phoenix, AZ 85020-4668
831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801
9700 N 91St St
Scottsdale, AZ 85258-5036
PO Box
Suite 772
Woonsocket, RI 02895
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8170 | CT | MD | Physical Therapist |
| 95034838 | CA | MD | Family Nurse Practitioner |
| 0004395 | CO | MD | Family Nurse Practitioner |
| 862214 | NV | MD | Family Nurse Practitioner |
| 346264 | NY | MD | Family Nurse Practitioner |
| 225873 | OK | MD | Family Nurse Practitioner |
| 10014312 | OR | MD | Family Nurse Practitioner |
| AP70034986 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalcare Health Services PC | Nurse Practitioner | Current | Accepting new patients |
| Adobe Provider Group | Nurse Practitioner | Current | Accepting new patients |
| Adobe PH PC | Current | Accepting new patients | |
| Est IV Hydration & Wellness Spa PLLC | Current | Accepting new patients | |
| Vitalcare Medical Services PA | Nurse Practitioner | Current | Accepting new patients |
| Family Care Partners of Northeast Florida LLC | Current | Accepting new patients | |
| Adobe Care and Wellness LLC | Past | Accepting new patients |
Locations
7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111
7500 N Dreamy Draw Dr
Ste 100
Phoenix, AZ 85020
Phone (520) 233-7111
9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376
9494 E Becker Ln
Scottsdale, AZ 85260
Phone (480) 331-7702
4685 Baseline Rd
Boulder, CO 80303
Phone (303) 439-2259
9550 Regency Square Blvd
Ste 300
Jacksonville, FL 32225
Phone (904) 744-7300
1215 Dunn Ave
Jacksonville, FL 32218
Phone (904) 757-1998
7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616
2850 Ruby Vista Dr
Elko, NV 89801
Phone (775) 753-3727
7251 W Lake Mead Blvd
Ste 300
Las Vegas, NV 89128
Phone (702) 562-4096
2100 Townsend Dr
El Reno, OK 73036
Phone (405) 262-3323
6800 SW 105th Ave
Ste 206
Beaverton, OR 97008
8215 SW Tualatin Sherwood Rd
Ste 200
Tualatin, OR 97062
Phone (503) 899-3793
1 Saint Elizabeth Way
East Greenwich, RI 02818
Phone (401) 219-1792
3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486
801 SE Park Crest Ave
Vancouver, WA 98683
Phone (360) 253-2879
Organizations & group practices 8
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.
-
- Nurse Practitioner
- Tempe, AZ
- NPI 1659850279
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1750323143
-
- Urgent Care Clinic/Center
- Lehi, UT
- NPI 1235954389
AZ, CO, Nurse Practitioner, NV, OK, OR, RI, WA
-
- Urgent Care Clinic/Center
- Lehi, UT
- NPI 1871470179
FL, Nurse Practitioner
-
- Primary Care Clinic/Center
- Scottsdale, AZ
- NPI 1518748524
-
- Family Medicine Physician
- Brea, CA
- NPI 1427889195
-
- Case Management Agency
- Mesa, AZ
- NPI 1346678935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1003375825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 N HOLLYWOOD WAY",
"city": "BURBANK",
"state": "CA",
"postal_code": "915053406",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 N HOLLYWOOD WAY",
"city": "BURBANK",
"state": "CA",
"postal_code": "915053406",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "2760 Fletcher Pkwy",
"address_purpose": "LOCATION",
"city": "El Cajon",
"state": "CA",
"postal_code": "920202110",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14330 Culver Dr",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926040303",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMSON",
"first_name": "EBONIQUE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11020262",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP70034986",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95034838",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0004395",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "346264",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "10014312",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "862214",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "225873",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "223100",
"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 Jun 4, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.