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

Dr. Tanaporn Jasmine Wilaisakditipakorn, MD

Individual provider Developmental - Behavioral Pediatrics Physician · NPI 1669835534

Dr. Tanaporn Jasmine Wilaisakditipakorn, MD is a Pediatric Medicine in Sacramento, California. Qualified in 2013, 13 years ago. Practices with Regents of the Univ of Ca, a 1,578-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2825 50th St
Sacramento, CA 95817-2310
Phone: (917) 703-0300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X · Licence A180301 (CA)

Record details

NPI number1669835534
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2016
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Regents Of The Univ Of Ca — 1578 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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