Individual provider Active NPI

Samantha Lee Arnold, FNP-BC

  • Family Nurse Practitioner
  • La Jolla, CA
National Provider Identifier
1497436406
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025215 Issued in CA
Practice address
9850 Genesee Ave Ste 710
La Jolla, CA 92037-1218
Phone
(858) 260-2977
NPI assigned
Jul 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95025215 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 710
La Jolla, CA 92037-1218

Mailing address

9850 Genesee Ave Ste 710
La Jolla, CA 92037-1218
Phone (858) 260-2977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617003037 CA Practitioner - Nurse Practitioner 4183167349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modena Allergy and Asthma Inc.Group PAC ID 9436545274, 25 clinicians

Practice addresses (Care Compare)

9850 Genesee Ave
Suite 710
La Jolla, CA 92037-1218
Phone (858) 260-2977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025215CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Modena Allergy & Asthma II Inc. CurrentSince Dec 28, 2025 Accepting new patients
Modena Allergy & Asthma Inc. CurrentSince May 30, 2024 Accepting new patients

Locations

910 Hale Pl
Ste 110
Chula Vista, CA 91914
Phone (619) 704-7577

230 Prospect Pl
Ste 220
Coronado, CA 92118
Phone (559) 593-6450

9850 Genesee Ave
Ste 710
La Jolla, CA 92037
Phone (858) 260-2977

9833 Pacific Heights Blvd
Ste J
San Diego, CA 92121
Phone (858) 452-3937

462 Stevens Ave
Ste 300
Solana Beach, CA 92075
Phone (858) 392-8660

2067 W Vista Way
Ste 140
Vista, CA 92083
Phone (760) 941-4444

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1497436406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 710",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371218",
            "telephone_number": "858-260-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 710",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371218",
            "telephone_number": "858-260-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.