Individual provider Active NPI

Victor Tamashiro, MD

  • General Practice Physician
  • Marina del Rey, CA
National Provider Identifier
1952400715
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A46156 Issued in CA
Practice address
4333 Admiralty Way Unit 3
Marina del Rey, CA 90292-5469
Phone
(818) 515-6598
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dietary Manager 132700000X CA
Meals Provider 174200000X CA
General Practice Physician 208D00000X A46156 CA Primary

Addresses

Primary practice location

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

Mailing address

4333 Admiralty Way Unit 3
Marina del Rey, CA 90292-5469
Phone (818) 515-6598

Other practice location 1

246 W College St Ste 308
Covina, CA 91723-1910
Phone (818) 515-6598

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A46156CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Health Solutions a Medical Corporation General Practice CurrentSince Nov 8, 2025 Accepting new patients
Regenesis Nutrition a Medical Corporation Meals CurrentSince Nov 7, 2025 Accepting new patients
Providence Pediatrics Inc Past Accepting new patients
Pediatric Affiliates Medical Group Inc Pediatrics Past Accepting new patients
All Valley Pediatrics Pediatrics Past Accepting new patients

Locations

4333 Admiralty Way
Unit 3
Marina del Rey, CA 90292
Phone (818) 515-6598

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1952400715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 ADMIRALTY WAY UNIT 3",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925469",
            "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": [
        {
            "address_1": "246 W College St Ste 308",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917231910",
            "country_code": "US",
            "telephone_number": "818-515-6598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMASHIRO",
        "first_name": "VICTOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A46156",
            "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 Apr 23, 2026; 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.