TATJANA ILICH NP
NPI 1316627151
Nurse Practitioner - Primary Care in Vista, CA

Active since July 18, 2023

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 5, 2026, Jul 18, 2023 (2 updates tracked since 2023).

About Tatjana Ilich Np NPPES

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

TATJANA ILICH NP (NPI 1316627151) is an individual primary care provider in Vista, California, licensed in California (95026030) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1316627151
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTATJANA ILICHCredential: NP
Location Address1964 VIA CTRVista, CA 92081-6056
Mailing Address1964 Via CtrVista, CA 92081-6056 · (888) 743-7526
Sole ProprietorNo
Enumeration DateJuly 18, 2023
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1316627151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in CA · 95026030
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 95165114 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95026030 (CA)
1964 VIA CTR, Vista, CA 92081

Other Providers at the Same Location NPPES 2

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

Physician Assistant
1964 VIA CTR
VISTA, CA 92081
Advanced Practice Midwife
1964 VIA CTR
VISTA, CA 92081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tatjana Ilich's NPI number?

The NPI number for Tatjana Ilich is 1316627151. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Tatjana Ilich located?

Tatjana Ilich practices at 1964 Via Ctr, Vista, CA 92081. The listed phone number is (888) 743-7526.

What is Tatjana Ilich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Tatjana Ilich was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.