TATJANA ILICH NP NPI 1316627151

NPI Information

  • NPI: 1316627151
  • Provider Name: TATJANA ILICH, NP
  • Classification: Nurse Practitioner - 363LP2300X
  • Specialization: Primary Care
  • Entity Type: Individual
  • Address: 1185 BEVERLY DR
    VISTA, CA
    ZIP 92084
  • Phone: (760) 685-3306

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NPI Details

Tatjana Ilich, NP is a primary care nurse practitioner in Vista, CA. Tatjana Ilich, NP NPI is 1316627151. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1185 BEVERLY DR
VISTA, CA
ZIP 92084-705
Phone: (760) 685-3306

The enumeration date for this NPI number is 7/18/2023 and was last updated on 7/18/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WM0705XRegistered NurseMedical-Surgical95165114CALIFORNIANo
2363LF0000XNurse PractitionerFamily95026030CALIFORNIANo
3363LP2300XNurse PractitionerPrimary Care95026030CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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