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TYRICO Z TROTTY SUDCC IV
NPI 1083445845
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since August 12, 2024
3340 KEMPER ST STE 105, SAN DIEGO, CA 92110(619) 674-3302 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Aug 12, 2024 (2 updates tracked since 2024).

About Tyrico Z Trotty Sudcc Iv NPPES

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

TYRICO Z TROTTY SUDCC IV (NPI 1083445845) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (5858) and active in the NPI registry since August 2024. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1083445845
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTYRICO Z TROTTYCredential: SUDCC IV
Location Address3340 KEMPER ST STE 105San Diego, CA 92110-4907
Mailing Address570 Rancheros Dr Ste 200San Marcos, CA 92069-2963 · (760) 277-1374
Phone(619) 674-3302
Sole ProprietorNo
Enumeration DateAugust 12, 2024
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1083445845 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 · 5858
3340 KEMPER ST STE 105, San Diego, CA 92110
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Other Names 1

Former Name (1)Tyrico Tyler

Secondary Practice Location 1

Location 11750 5th AveSan Diego, CA 92101-2754 · Phone (619) 515-2588

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.

PABLO R SAMAYOA SUDRC
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
JUDITH MARIE YOUNG SUDRC 11732
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MRS. MADELINE ELIZABETH ROCHA MS, LMFT
Counselor (Mental Health)
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
LYDIA E. LOPEZ
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
LISA KAY ANTCLIFF SUDRC # 22517
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MS. MONICA LEA PEDDICORD CADC-II
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MARIE G DENIS
Counselor
3340 KEMPER ST STE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
KEITH PATRICK SULLIVAN
Counselor (Addiction (Substance Use Disorder))
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 Tyrico Trotty's NPI number?

The NPI number for Tyrico Trotty is 1083445845. It was assigned to this individual provider in the NPPES registry on August 12, 2024. The provider is also known as Tyrico Tyler.

Where is Tyrico Trotty located?

Tyrico Trotty practices at 3340 Kemper St Ste 105, San Diego, CA 92110. The listed phone number is (619) 674-3302.

What is Tyrico Trotty'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 Tyrico Trotty was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.