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MS. MONICA LEA PEDDICORD CADC-II
NPI 1053754853
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since April 10, 2013
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110(619) 523-8121(619) 523-8742 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 8, 2024, Sep 24, 2018 (2 updates tracked since 2018).

About Ms. Monica Lea Peddicord Cadc-ii NPPES

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

MS. MONICA LEA PEDDICORD CADC-II (NPI 1053754853) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (A012560315) and active in the NPI registry since April 2013. She maintains a secondary practice location in Imperial Beach.

NPPES Registry Identity

NPI1053754853
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MONICA LEA PEDDICORDCredential: CADC-II
Location Address3340 KEMPER ST STE 105San Diego, CA 92110-4907
Mailing Address3340 Kemper St Ste 105San Diego, CA 92110-4907 · (619) 523-8121 · Fax (619) 523-8742
Phone(619) 523-8121
Fax(619) 523-8742
Sole ProprietorNo
Enumeration DateApril 10, 2013
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1053754853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · A012560315
3340 KEMPER ST STE 105, San Diego, CA 92110
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Secondary Practice Location 1

Location 1740 10th StImperial Beach, CA 91932-2216 · Phone (619) 906-5323

Other Identifiers 1

Medicaid37378100CA

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.

MRS. HEATHER JEAN STARR CAS
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
JASMINE MONTOYA CATC
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
LINDSEY CHRISTA HASKELL
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
REBECCA A EVANS
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MARGARET A CAMPBELL
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
CONKNESHIA HOLYFIELD
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MICHAEL J SHORT
Specialist
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
LETICIA GARCIA
Specialist
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121

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 Monica Peddicord's NPI number?

The NPI number for Monica Peddicord is 1053754853. It was assigned to this individual provider in the NPPES registry on April 10, 2013.

Where is Monica Peddicord located?

Monica Peddicord practices at 3340 Kemper St Ste 105, San Diego, CA 92110. The listed phone number is (619) 523-8121.

What is Monica Peddicord's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Monica Peddicord was last updated on October 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.