Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justene Ann Ilog, PMHNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1598451445

Justene Ann Ilog, PMHNP is a Nurse Practitioner in Vista, California. Qualified in 2023, 3 years ago. Practices with Monica Perlman MD Inc, a 352-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

550 W Vista Way Ste 103
Vista, CA 92083-5735
Phone: (760) 295-8727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95025318 (CA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 95219111 (CA)

Record details

NPI number1598451445
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedApril 13, 2023
Last updated in NPPESAugust 22, 2023
Certification dateAugust 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Monica Perlman Md Inc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Vista