Samantha Brovold

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC000694 Issued in CA

Practice address

3595 John Hopkins CT
San Diego, CA 92121-1121

Phone

(858) 202-9391

NPI assigned

Aug 25, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Caldwell Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1730096801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 WILL SCARLET RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271041649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 JOHN HOPKINS CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211121",
            "telephone_number": "858-202-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROVOLD",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "CALDWELL",
            "credential": "MS, LCGC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Richard Brouillette, LCSW
• Ashley Elizabeth Broussard, FNP
• Kennedi Broussard
• Lisette Broussard, BCBA
• Denaya Clarice Brousseau
• Samantha Browde, RD
• Lia Catherine Brower-Mix, M.S.
• Jermy Joe Brower
• Alejandra Brown-Johnson
• Collette Brown-Smith, RADT-I

• Genetic Counselor (M.S.) in San Diego, CA
• Providers in San Diego, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.