Tyrico Z Trotty, SUDCC IV

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5858 Issued in CA

Practice address

3340 Kemper St Ste 105
San Diego, CA 92110-4907

Phone

(619) 674-3302

NPI assigned

Aug 12, 2024

Sex

Male

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

• Tyrico Tyler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Health Centers of San Diego Inc

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1538590781
  NPD (past)

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1083445845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 RANCHEROS DR STE 200",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920692963",
            "telephone_number": "760-277-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 KEMPER ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104907",
            "telephone_number": "619-674-3302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 5th Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921012754",
            "country_code": "US",
            "telephone_number": "619-515-2588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROTTY",
        "first_name": "TYRICO",
        "middle_name": "Z",
        "credential": "SUDCC IV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-12",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "5858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYRICO",
            "last_name": "TYLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Trinity Trosper
• Trost Ca LLC
• Audrey Virginia Trottier, LMFT
• Nadine R Trottier, RD, NASM-CPT
• Sarah Emily Benoit Trottier
• Erykah Arlene Troupe
• Ian Troupe, DNP, FNP
• David Troupin
• Juliette E Trout, SLPA
• Kelly Ann Trout, CRNA

• Addiction (Substance Use Disorder) Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.