Active NPI
Vesna Ilich
- Nursing Care Agency
- Vista, CA
National Provider Identifier
1295491397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 374602645
- Practice address
- 3008 Buena Creek Rd
Vista, CA 92084-7412 - Phone
- (760) 685-2299
- NPI assigned
- Nov 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 374602645 | CA | Primary |
Addresses
Primary practice location
3008 Buena Creek Rd
Vista, CA 92084-7412
Mailing address
3008 Buena Creek Rd
Vista, CA 92084-7412
Phone (760) 685-2299
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Vista |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 374602645 | CA | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1295491397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 BUENA CREEK RD",
"city": "VISTA",
"state": "CA",
"postal_code": "920847412",
"telephone_number": "760-685-2299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3008 BUENA CREEK RD",
"city": "VISTA",
"state": "CA",
"postal_code": "920847412",
"telephone_number": "760-685-2299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILICH",
"first_name": "VESNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "CA",
"license": "374602645",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Vista",
"affiliation": "N",
"address_1": "3008 Buena Creek Rd",
"city": "Vista",
"state": "CA",
"country_code": "US",
"postal_code": "920847412",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.