Palm Imaging Institute, A Medical Corporation
NPI 1063411460ActiveOrganization· Radiology, Diagnostic Radiology· San Bernardino, CA
Radiology, Diagnostic Radiology in San Bernardino, California, registered in NPPES in July 2005. The authorized official on file is Tanie Donaldson, RN, Office Manager.
Overview
| NPI | 1063411460 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2005 |
| Last updated in NPPES | Apr 23, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 28926 | CA |
| Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | 207XS0114X | G55682 | CA |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | A84930 | CA |
| Physical Therapist | 225100000X | PT 10673 | CA |
| Physician Assistant, Surgical | 363AS0400X | PA20947 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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