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SUSIE NAM MS, CCC-SLP
NPI 1104399203
Speech-Language Pathologist in Encinitas, CA

Active since January 10, 2019Accepts Medicare Assignment
1092 N EL CAMINO REAL, ENCINITAS, CA 92024(760) 633-6507 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 27, 2024, Nov 7, 2021, Jan 10, 2019 (3 updates tracked since 2019).

About Susie Nam Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSIE NAM MS, CCC-SLP (NPI 1104399203) is an individual speech-language pathologist provider in Encinitas, California, licensed in California (27305) and active in the NPI registry since January 2019. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1104399203
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSUSIE NAMCredential: MS, CCC-SLP
Location Address1092 N EL CAMINO REALEncinitas, CA 92024-1367
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (760) 633-6507
Phone(760) 633-6507
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 10, 2019
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1104399203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 27305
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1092 N EL CAMINO REAL, Encinitas, CA 92024
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susie Nam Ms, Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204363401
PECOS Enrollment IDI20241230003171

Medicare Billing Reassignment

Medicare enrollment records show Susie Nam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scripps Health
2.3 mi
General Acute Care Hospital
354 SANTA FE DR
Encinitas, CA 92024
  • Reassigned Medicare billing, California enrollment
  • 1,598 clinicians in this Medicare group
NPI 1700829199 (760) 457-4123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLEN NAMBOOTHIRI
Physical Therapist
1092 N EL CAMINO REAL
ENCINITAS, CA 92024
San Diego County (760) 633-6507
CHRISTIAN GEORGE CARTER PT, DPT
Physical Therapist
1092 N EL CAMINO REAL
ENCINITAS, CA 92024
San Diego County (760) 633-6507
DR. STEPHANIE LAUREN ESSER DPT
Physical Therapist
1092 N EL CAMINO REAL
ENCINITAS, CA 92024
San Diego County (760) 633-6507
ANGELA E LIVINGSTON
Speech-Language Pathologist
1092 N EL CAMINO REAL
ENCINITAS, CA 92024
San Diego County (760) 633-6035
MATTHEW BJORK DPT
Physical Therapist
1092 N EL CAMINO REAL
ENCINITAS, CA 92024
San Diego County (760) 633-6507
CANDICE LOUISE SIMPSON NAGLE SLP
Speech-Language Pathologist
1092 N EL CAMINO REAL
ENCINITAS, CA 92024
San Diego County (760) 633-6711
TIMOTHY J LANE PT
Physical Therapist (Orthopedic)
1092 N EL CAMINO REAL
ENCINITAS, CA 92024
San Diego County (760) 633-6507
MADELEINE ELISE BINGHAM DPT
Physical Therapist
1092 N EL CAMINO REAL
ENCINITAS, CA 92024
San Diego County (760) 633-6035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susie Nam's NPI number?

The NPI number for Susie Nam is 1104399203. It was assigned to this individual provider in the NPPES registry on January 10, 2019.

Where is Susie Nam located?

Susie Nam practices at 1092 N El Camino Real, Encinitas, CA 92024. The listed phone number is (760) 633-6507.

What is Susie Nam's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Susie Nam enrolled in Medicare?

Yes. Susie Nam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Susie Nam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susie Nam reassigns Medicare benefits to Scripps Health (Encinitas, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susie Nam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susie Nam was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.