Individual provider Active NPI

Zaida Dimanche-Black, MA

  • Marriage & Family Therapist
  • Lancaster, CA
National Provider Identifier
1043827520
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
150366 Issued in CA
Practice address
42455 10TH St W Ste 103
Lancaster, CA 93534-7060
Phone
(661) 341-3900
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 150366 CA Primary
Marriage & Family Therapist 106H00000X
Behavior Technician 106S00000X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

42455 10TH St W Ste 103
Lancaster, CA 93534-7060

Mailing address

42455 10TH St W Ste 103
Lancaster, CA 93534-7060
Phone (661) 341-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250912002097 CA Practitioner - Marriage and Family Therapist 1254834435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1146 Lisa CT
Lancaster, CA 93535-4876

8337 Telegraph Rd
Suite 300
Pico Rivera, CA 90660-4988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
150366CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Community Services, LLC CurrentSince Jun 29, 2025 Accepting new patients
Pathways Community Services LLC CurrentSince Jun 29, 2025 Accepting new patients
Pathways Community Services LLC Current Accepting new patients
Pathways Community Services LLC PastSince Aug 15, 2021 Accepting new patients

Locations

42455 10th St W
Ste 103
Lancaster, CA 93534
Phone (661) 341-3900

8337 Telegraph Rd
Ste 123
Pico Rivera, CA 90660
Phone (562) 207-4272

8337 Telegraph Rd
Ste 300
Pico Rivera, CA 90660
Phone (562) 207-4272

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1043827520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42455 10TH ST W STE 103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347060",
            "telephone_number": "661-341-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42455 10TH ST W STE 103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347060",
            "telephone_number": "661-341-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMANCHE-BLACK",
        "first_name": "ZAIDA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150366",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.