Organization Active NPI

Kimbley Y Lau PC

  • Psychiatry Physician
  • Bellflower, CA
National Provider Identifier
1811674237
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
KIMBLEY Y LAU PC
Practice address
9928 Flower St Ste 203
Bellflower, CA 90706-0403
Phone
(424) 209-2875
Fax
(417) 313-0749
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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
Chief Executive Officer
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

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 CA, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230721000484 CA Part B Supplier - Clinic/Group Practice 4981064995 Receives reassigned benefits from 1 practitioner
Practice locations: Bellflower, CA
O20250630004148 NV Part B Supplier - Clinic/Group Practice 4981064995 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

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": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1811674237",
    "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": {
        "organization_name": "KIMBLEY Y LAU PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "KIMBLEY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "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 Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.