Individual provider Active NPI

Kimbley Lau, DO

  • Psychiatry Physician
  • Bellflower, CA
National Provider Identifier
1629505045
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A20660 Issued in CA
Practice address
9928 Flower St Ste 203
Bellflower, CA 90706-0403
Phone
(424) 209-2875
Fax
(417) 313-0749
NPI assigned
May 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO3192 NV
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 20A20660 CA Primary

Addresses

Primary practice location

9928 Flower St Ste 203
Bellflower, CA 90706-0403

Mailing address

9928 Flower St Ste 203
Bellflower, CA 90706-0403
Phone (424) 209-2875

Other practice location 1

3651 Lindell Rd Ste D365
Las Vegas, NV 89103-1254
Phone (424) 209-2875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230607002400 NV Practitioner - Psychiatry 5597013797 Reassigns benefits to 3 organizations
I20230721000613 CA Practitioner - Psychiatry 5597013797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State of NevadaGroup PAC ID 9234022153, 57 clinicians

Practice addresses (Care Compare)

3651 Lindell Rd
Suite D365
Las Vegas, NV 89103-1254
Phone (424) 209-2875

61 N Willow St
Suite 4
Mesquite, NV 89027-4786
Phone (702) 346-4696

9928 Flower St
Suite 203
Bellflower, CA 90706-0403
Phone (702) 291-8789

Hospital & facility affiliations

  • College Medical Center Hospital, Long Beach, CA, CCN 050776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada CurrentSince Apr 22, 2023 Accepting new patients
Desert Blossom Psychiatry (Lau) PLLC Psychiatry CurrentSince Jun 14, 2023 Accepting new patients
State of Nevada Current Accepting new patients
Kimbley Y Lau PC Psychiatry CurrentSince May 30, 2023 Accepting new patients
State of Nevada CurrentSince Apr 22, 2023 Accepting new patients
Unlv Medicine Past Accepting new patients

Locations

9928 Flower St
Ste 203
Bellflower, CA 90706
Phone (424) 209-2875

4150 Technology Way
Ste 100
Carson City, NV 89706

1909 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 471-0420

6161 W Charleston Blvd
Las Vegas, NV 89146
Phone (702) 486-4400

3651 Lindell Rd
Ste D365
Las Vegas, NV 89103
Phone (424) 209-2875

61 N Willow St
Ste 4
Mesquite, NV 89027
Phone (702) 346-4696

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1629505045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9928 FLOWER ST STE 203",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907060403",
            "telephone_number": "424-209-2875",
            "fax_number": "417-313-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9928 FLOWER ST STE 203",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907060403",
            "telephone_number": "424-209-2875",
            "fax_number": "417-313-0749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 Lindell Rd Ste D365",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891031254",
            "country_code": "US",
            "telephone_number": "424-209-2875",
            "fax_number": "417-313-0749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAU",
        "first_name": "KIMBLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO3192",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A20660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.