Organization Active NPI

Family First Icare, Inc.

  • Eyewear Supplier
  • Westminster, CA
National Provider Identifier
1134617897
Registry record updated Dec 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
FAMILY FIRST ICARE, INC.
Practice address
16498 Beach Blvd
Westminster, CA 92683-7860
Phone
(714) 848-3937
Fax
(714) 842-5043
NPI assigned
Apr 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yvon A Wagner, OPTICIAN
Title
President
Phone
(949) 922-8175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X CA Primary

Addresses

Primary practice location

16498 Beach Blvd
Westminster, CA 92683-7860

Mailing address

1696 Newport Blvd
Costa Mesa, CA 92627-3787
Phone (949) 922-8175

National Provider Directory

National Provider Directory
Tax ID family
Family First Icare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671321600000",
    "number": "1134617897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1696 NEWPORT BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273787",
            "telephone_number": "949-922-8175",
            "fax_number": "949-200-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16498 BEACH BLVD",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837860",
            "telephone_number": "714-848-3937",
            "fax_number": "714-842-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST ICARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-28",
        "last_updated": "2022-12-18",
        "certification_date": "2022-12-18",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "YVON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-922-8175",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.