Organization Active NPI

Regenesis Health Solutions a Medical Corporation

  • General Practice Physician
  • Marina del Rey, CA
National Provider Identifier
1689543589
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
REGENESIS HEALTH SOLUTIONS A MEDICAL CORPORATION
Practice address
4333 Admiralty Way Unit 3
Marina del Rey, CA 90292-5469
Phone
(818) 515-6598
NPI assigned
Oct 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Dr. Victor German TamashiroNPI 1952400715
Title
Ceo
Phone
(818) 515-6598

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4333 Admiralty Way Unit 3
Marina del Rey, CA 90292-5469

Mailing address

4265 Marina City Dr Unit 1011
Marina del Rey, CA 90292-5801
Phone (818) 515-6598

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1689543589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 MARINA CITY DR UNIT 1011",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925801",
            "telephone_number": "818-515-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 ADMIRALTY WAY UNIT 3",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925469",
            "telephone_number": "818-515-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENESIS HEALTH SOLUTIONS A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "TAMASHIRO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "GERMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-515-6598",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.