MRS. EBONIQUE THOMSON FNP
NPI 1003375825
Nurse Practitioner - Family in Burbank, CA

Q: What is Ebonique Thomson's NPI number?

The NPI number for Ebonique Thomson is 1003375825. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Ebonique Thomson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ebonique Thomson was last updated on June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 19, 2019PECOS EnrolledAccepts Medicare Assignment

511 N HOLLYWOOD WAY, BURBANK, CA 91505(866) 389-2727 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 4, 2026, Jan 28, 2026, Mar 19, 2019 (3 updates tracked since 2019).

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About Mrs. Ebonique Thomson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EBONIQUE THOMSON FNP (NPI 1003375825) is an individual family provider in Burbank, California, licensed in Arizona (223100) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003375825

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. EBONIQUE THOMSONCredential: FNP

Location Address511 N HOLLYWOOD WAYBurbank, CA 91505-3406

Mailing Address511 N Hollywood WayBurbank, CA 91505-3406 · (866) 389-2727

Phone(866) 389-2727

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 19, 2019

Last NPPES UpdateJune 4, 20263 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1003375825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in AZ · 223100✔ Licensed in FL · APRN11020262✔ Licensed in WA · AP70034986✔ Licensed in CA · 95034838✔ Licensed in CO · 0004395✔ Licensed in NY · 346264✔ Licensed in OR · 10014312✔ Licensed in NV · 862214✔ Licensed in OK · 225873

511 N HOLLYWOOD WAY, Burbank, CA 91505

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Secondary Practice Locations 2

Location 12760 Fletcher PkwyEl Cajon, CA 92020-2110 · Phone (866) 389-2727

Location 214330 Culver DrIrvine, CA 92604-0303 · Phone (866) 389-2727

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ebonique Thomson Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870916760

PECOS Enrollment IDI20251021003959, I20251124003501

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FELICIA FUNG

Pharmacist