Individual provider Active NPI

Dinko Michael Zidarich, M.A., LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1558805853
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT97181 Issued in CA
Practice address
8271 Melrose Ave Ste 102
Los Angeles, CA 90046-6800
Phone
(424) 226-2554
NPI assigned
Dec 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT97181 CA Primary

Addresses

Primary practice location

8271 Melrose Ave Ste 102
Los Angeles, CA 90046-6800

Mailing address

1155 N la Cienega Blvd
Suite 206
West Hollywood, CA 90069-2457
Phone (424) 226-2554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT97181CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1558805853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N LA CIENEGA BLVD",
            "address_2": "SUITE 206",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692457",
            "telephone_number": "424-226-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8271 MELROSE AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900466800",
            "telephone_number": "424-226-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIDARICH",
        "first_name": "DINKO",
        "middle_name": "MICHAEL",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-06",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT97181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.