Active NPI
Laura Bui
- Clinical Psychologist
- Glendale, CA
National Provider Identifier
1598311490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 35203
- Practice address
- 1540 E Colorado St
Glendale, CA 91205-1514 - Phone
- (818) 244-7257
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 35203 | CA | Primary |
Addresses
Primary practice location
1540 E Colorado St
Glendale, CA 91205-1514
Mailing address
4760 Sepulveda Blvd
Culver City, CA 90230-4820
Phone (310) 390-6612
Other practice location 1
15339 Saticoy St
Van Nuys, CA 91406-3345
Phone (818) 267-2681
Other practice location 2
1301 Pine Ave
Long Beach, CA 90813-3124
Phone (562) 595-1159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 23, 2025 through Oct 23, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1598311490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 SEPULVEDA BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902304820",
"telephone_number": "310-390-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 E COLORADO ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051514",
"telephone_number": "818-244-7257"
}
],
"practiceLocations": [
{
"address_1": "15339 Saticoy St",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914063345",
"country_code": "US",
"telephone_number": "818-267-2681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 Pine Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908133124",
"country_code": "US",
"telephone_number": "562-595-1159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUI",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-15",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "35203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.