Individual provider Active NPI

Diana Pajongvirotjanasakul, OD

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1811746035
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35888 Issued in CA
Practice address
5460 E la Palma Ave
Anaheim, CA 92807-2023
Phone
(714) 463-7250
NPI assigned
May 20, 2024
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240921000104 NY Practitioner - Optometry 3173064862 Reassigns benefits to 1 organization
I20250617004224 CA Practitioner - Optometry 3173064862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall B. Ketchum University CurrentSince Jun 1, 2025 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Jul 8, 2024 Accepting new patients
Marshall B. Ketchum University/University Eye Center at Los Angeles Optometrist CurrentSince Jun 1, 2025 Accepting new patients
Marshall B. Ketchum University Optometrist Current Accepting new patients
State of New York Comptrollers Office CurrentSince Jul 8, 2024 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

  • Direct secure messaging: diana.pajongvirotjanasakul.p1@direct.opt.nextgenshare.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.