Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Palm Imaging Institute, a Medical Corporation

Organization Adult Reconstructive Orthopaedic Surgery Physician · NPI 1063411460

Palm Imaging Institute, a Medical Corporation is an Adult Reconstructive Orthopaedic Surgery Physician in San Bernardino, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2005
Specialties on file
5

Practice location Address checks out

399 E 21st St
San Bernardino, CA 92404-4815
Phone: (909) 882-2266
Fax: (909) 881-7593
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 900 E Washington Street, Colton, CA 92324-4192 — (909) 882-5867
  • 1850 N Riverside Ave, Rialto, CA 92376-8071 — (909) 421-3040

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 28926 (CA)
Adult Reconstructive Orthopaedic Surgery Physician Taxonomy 207XS0114X · Licence G55682 (CA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence A84930 (CA)
Physical Therapist Taxonomy 225100000X · Licence PT 10673 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA20947 (CA)

Record details

NPI number1063411460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanie Donaldson — Office Manager · (909) 882-2266
NPI enumeratedJuly 18, 2005
Last updated in NPPESApril 23, 2018
Mailing address399 E 21st St, San Bernardino, CA 92404-4815