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Palm Imaging Institute, A Medical Corporation

Diagnostic Radiology Physician in San Bernardino, CA · enumerated 2005 · authorized official Tanie Donaldson, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063411460

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Registry record

Entity type Organization (Type 2)
Legal business name Palm Imaging Institute, A Medical Corporation
Practice address 399 E 21st St, San Bernardino, CA, 92404
Fax (909) 881-7593
Enumeration date Jul 18, 2005
Last updated in NPPES Apr 23, 2018

Taxonomy & classification

207XS0114X Adult Reconstructive Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License G55682 (CA) Secondary
207XX0005X Sports Medicine (Orthopaedic Surgery) Physician Allopathic & Osteopathic Physicians · License A84930 (CA) Secondary
2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 28926 (CA) Primary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT 10673 (CA) Secondary
363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA20947 (CA) Secondary

Authorized official

Name Tanie Donaldson
Title Office Manager

Other identifiers

Identifier Type State Issuer
GR0063970 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Palm Imaging Institute, A Medical Corporation?
Palm Imaging Institute, A Medical Corporation is registered in NPPES as a Diagnostic Radiology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-23.