Organization Active NPI

Desert Blossom Psychiatry (Lau) PLLC

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1679279541
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DESERT BLOSSOM PSYCHIATRY (LAU) PLLC
Practice address
3651 Lindell Rd Ste D365
Las Vegas, NV 89103-1254
Phone
(242) 092-8754
Fax
(417) 313-0749
NPI assigned
Feb 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Kimbley Lau, DONPI 1629505045
Title
Owner
Phone
(424) 209-2875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

3651 Lindell Rd Ste D365
Las Vegas, NV 89103-1254

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230831000815 NV Part B Supplier - Clinic/Group Practice 7810350303 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1679279541",
    "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": "3651 LINDELL RD STE D365",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031254",
            "telephone_number": "242-092-8754",
            "fax_number": "417-313-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT BLOSSOM PSYCHIATRY (LAU) PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "KIMBLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-209-2875",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.