NPIMap

Organization Active NPI

Palm Pathology Medical Group, a Professional Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Palm Springs, CA
National Provider Identifier
1083185342
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PALM PATHOLOGY MEDICAL GROUP, A PROFESSIONAL CORPORATION
Practice address
1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone
(760) 323-6198
Fax
(760) 323-6195
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Dr. Joline H. Abrahams, MDNPI 1679567366
Title
President
Phone
(760) 333-8591

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872

Mailing address

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6198

Other practice location 1

JFK Memorial Hospital
47111 Monroe St
Indio, CA 92201-6739
Phone (760) 347-8947

Other practice location 2

JFK Memorial Hospital Anatomic Path Lab
81715 Doctor Carreon BL Ste A2
Indio, CA 92201-5564
Phone (760) 347-6191

Other practice location 3

Hi-Desert Medical Center
6601 White Feather Road
Joshua Tree, CA 92252-6607
Phone (760) 366-6273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190429002293 CA Part B Supplier - Clinic/Group Practice 2769724442 Receives reassigned benefits from 5 practitioners
Practice locations: Indio, CA; Palm Springs, CA; Joshua Tree, CA

National Provider Directory

National Provider Directory

Locations

81715 Doctor Carreon Blvd
Ste A2
Indio, CA 92201
Phone (760) 342-1187

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1083185342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "760-323-6198",
            "fax_number": "760-323-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "760-323-6198",
            "fax_number": "760-323-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "JFK MEMORIAL HOSPITAL",
            "address_2": "47111 MONROE ST",
            "address_purpose": "LOCATION",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016739",
            "country_code": "US",
            "telephone_number": "760-347-8947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "JFK MEMORIAL HOSPITAL ANATOMIC PATH LAB",
            "address_2": "81715 DOCTOR CARREON BL STE A2",
            "address_purpose": "LOCATION",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015564",
            "country_code": "US",
            "telephone_number": "760-347-6191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "HI-DESERT MEDICAL CENTER",
            "address_2": "6601 WHITE FEATHER ROAD",
            "address_purpose": "LOCATION",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922526607",
            "country_code": "US",
            "telephone_number": "760-366-6273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALM PATHOLOGY MEDICAL GROUP, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "ABRAHAMS",
        "authorized_official_first_name": "JOLINE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-333-8591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.