Krista Medina
Community Health Worker in Watsonville, CA. Individual provider (NPI-1).
NPI number1316705288
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1316705288
- Entity type
- Individual (NPI-1)
- Name
- Krista Medina
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2024
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
1205 Freedom Blvd # 3bWatsonville, CA 95076-2777
Phone 831-288-3105
Mailing address
104 Dutchman RdWatsonville, CA 95076-1205
Phone 831-707-9597
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All 38 Community Health Worker providers in Watsonville · All 1,283 providers in Watsonville
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