Susanna Gail Prim, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP12191 Issued in CA

Practice address

1429 W Beverly Dr
Anaheim, CA 92801-5827

Phone

(714) 499-8992

NPI assigned

Dec 13, 2005

Last updated

Apr 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1255316212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 W BEVERLY DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015827",
            "telephone_number": "714-499-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 W BEVERLY DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015827",
            "telephone_number": "714-499-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIM",
        "first_name": "SUSANNA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP12191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Previsich, O.D.
• Krista Prewett, FNP
• Ladonna Prewitt
• PRG Technologies, Inc
• Antonette Price-Dolman, SLPA
• Primary and Multi Specialty Clinics of Anaheim Inc (Gateway Medical Center)
• Primary and Multi Specialty Clinics of Anaheim Inc (Gateway Medical Center - West Anaheim)
• Primary and Multi Specialty Clinics of Anaheim Inc (Gateway Urgent Care Center)
• Primary and Multi-Specialty Clinics of Anaheim, Inc (Gateway Medical Center-Anaheim Hills)
• Prime Healthcare Anaheim LLC (West Anaheim Medical Center)

• Speech-Language Pathologist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.