DR. TANAPORN JASMINE WILAISAKDITIPAKORN M.D.
NPI 1669835534
Pediatrics - Developmental - Behavioral Pediatrics in Sacramento, CA

Q: What is Tanaporn Wilaisakditipakorn's NPI number?

The NPI number for Tanaporn Wilaisakditipakorn is 1669835534. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Q: What is Tanaporn Wilaisakditipakorn's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment

2825 50TH ST, SACRAMENTO, CA 95817(917) 703-0300 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2022, Aug 1, 2019, Mar 30, 2016 (3 updates tracked since 2016).

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About Dr. Tanaporn Jasmine Wilaisakditipakorn M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TANAPORN JASMINE WILAISAKDITIPAKORN M.D. (NPI 1669835534) is an individual developmental - behavioral pediatrics provider in Sacramento, California, licensed in California (A180301) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669835534

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameDR. TANAPORN JASMINE WILAISAKDITIPAKORNCredential: M.D.

Location Address2825 50TH STSacramento, CA 95817-2310

Mailing Address2825 50th StSacramento, CA 95817-2310 · (917) 703-0300

Phone(917) 703-0300

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 30, 2016

Last NPPES UpdateAugust 30, 20223 updates tracked since enumeration

NPPES CertifiedAugust 30, 2022

✔ NPI 1669835534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in CA · A180301

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

2825 50TH ST, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tanaporn Jasmine Wilaisakditipakorn M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214213511

PECOS Enrollment IDI20221202001282

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY BETH J STEINFELD M.D.

Pediatrics (Developmental - Behavioral Pediatrics)

2825 50TH ST, UC DAVIS DEPARTMENT OF PEDIATRICS
SACRAMENTO, CA 95817

Sacramento County (916) 703-0271

MS. SUSAN C BACALMAN M.S.W.

Social Worker (Clinical)