Active NPI
Diana Pajongvirotjanasakul, OD
- Optometrist
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35888
- Practice address
- 5460 E la Palma Ave
Anaheim, CA 92807-2023 - Phone
- (714) 463-7250
- NPI assigned
- May 20, 2024
- Last updated
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35888 | CA | Primary |
| Optometrist | 152W00000X | 009984 | NY | |
| Vision Therapy Optometrist | 152WV0400X | 35888 | CA | |
| Occupational Vision Optometrist | 152WX0102X | 35888 | CA |
Addresses
Primary practice location
5460 E la Palma Ave
Anaheim, CA 92807-2023
Mailing address
59 Endless Vis
Aliso Viejo, CA 92656-8057
Phone (949) 288-3680
Other practice location 1
9246 Lightwave Ave Ste 120
San Diego, CA 92123-6411
Phone (800) 270-5016
Other practice location 2
1900 S State College Blvd Ste 100
Anaheim, CA 92806-6136
Phone (800) 270-5016
Other names 1
- Diana Pajong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall B. Ketchum University | Current | Accepting new patients | |
| State of New York Comptrollers Office | Optometrist | Current | Accepting new patients |
| Marshall B. Ketchum University/University Eye Center at Los Angeles | Optometrist | Current | Accepting new patients |
| Marshall B. Ketchum University | Optometrist | Current | Accepting new patients |
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Institutes of Health Behavioral Medicine and Medical Psychology Inc. | Past | Accepting new patients |
Locations
5460 E La Palma Ave
Anaheim, CA 92807
Phone (714) 463-7500
3916 S Broadway
Los Angeles, CA 90037
Phone (323) 234-9137
33 W 42nd St
New York, NY 10036
Phone (212) 780-4930
33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930
University Eye Ctr
New York, NY 10087
Interoperability endpoints
- diana.pajongvirotjanasakul.p1@direct.opt.nextgenshare.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
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.
-
- Optometrist
- Anaheim, CA
- NPI 1720101876
-
dba Suny College of Optometry/University Eye Center
- Optometrist
- New York, NY
- NPI 1407829856
-
dba Ketchum Health Medical Clinic
- Multi-Specialty Clinic/Center
- Anaheim, CA
- NPI 1174037493
-
dba Optometric Center of Los Angeles
- Optometrist
- Los Angeles, CA
- NPI 1558467225
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
-
dba Institutes of Health
- Clinical Psychologist
- Oceanside, CA
- NPI 1407392319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1811746035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 ENDLESS VIS",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926568057",
"telephone_number": "949-288-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5460 E LA PALMA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928072023",
"telephone_number": "714-463-7250"
}
],
"practiceLocations": [
{
"address_1": "9246 Lightwave Ave Ste 120",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921236411",
"country_code": "US",
"telephone_number": "800-270-5016",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 S State College Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928066136",
"country_code": "US",
"telephone_number": "800-270-5016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAJONGVIROTJANASAKUL",
"first_name": "DIANA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-20",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35888",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009984",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "35888",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "CA",
"license": "35888",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "PAJONG",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.