Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Karlo Lagrisola Medrano

Individual provider Community Health Worker · NPI 1104408939

Karlo Lagrisola Medrano is a Community Health Worker in San Diego, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
4

Practice location Address checks out

1260 Morena Blvd Ste 100
San Diego, CA 92110-3850
Phone: (619) 398-0355
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)
Community Health Worker Taxonomy 172V00000X
Peer Specialist Taxonomy 175T00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1104408939
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2021
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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