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SIMONE A MCKITTY MD INC
NPI 1154723625
Dermatology in Torrance, CA

Active since September 16, 2014
3440 LOMITA BLVD, SUITE 442, TORRANCE, CA 90505(310) 530-5451 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Simone A Mckitty Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIMONE A MCKITTY MD INC (NPI 1154723625) is a healthcare organization registered as a dermatology in Torrance, California and active in the NPI registry since September 2014. The organization lists Simone Mckitty, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1154723625
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSIMONE A MCKITTY MD INC
Location Address3440 LOMITA BLVD, SUITE 442Torrance, CA 90505
Mailing Address3440 Lomita Blvd, Suite 442Torrance, CA 90505 · (310) 530-5451
Phone(310) 530-5451
Organization SubpartNo
Authorized OfficialSimone MckittyMd/owner · (310) 530-5451
Enumeration DateSeptember 16, 2014
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1154723625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · C127807
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3440 LOMITA BLVD, Torrance, CA 90505
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simone A Mckitty Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Simone A Mckitty MD Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Andrew Breithaupt, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1437460359
200 MED PLZ SUITE 450
Los Angeles, CA 90095
(310) 825-6911
✔ PECOS✔ Accepts Medicare60 mi
Simone Mckitty, M.D.
General Practice
NPI 1730280298
4660 KENMORE AVE STE 500
Alexandria, VA 22304
(703) 370-0073
✔ PECOS✔ Accepts Medicare2,307 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0551024

Simone A Mckitty, MD Inc · Torrance, CA
Expired · Sep 30, 2026
CLIA Number05D0551024
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2023
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorSimone A. Mckitty, MD
Laboratory Phone(310) 530-5451
Laboratory LocationSimone A Mckitty, MD Inc3440 W Lomita Blvd Ste 442, Torrance, CA 90505
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Simone A Mckitty MD Inc's NPI number?

The NPI number for Simone A Mckitty MD Inc is 1154723625. It was assigned to this organization in the NPPES registry on September 16, 2014.

Where is Simone A Mckitty MD Inc located?

Simone A Mckitty MD Inc is located at 3440 Lomita Blvd Suite 442, Torrance, CA 90505. The listed phone number is (310) 530-5451.

What is Simone A Mckitty MD Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Simone A Mckitty MD Inc enrolled in Medicare?

Yes. Simone A Mckitty MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Simone A Mckitty MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Simone A Mckitty MD Inc, in General Practice and Micrographic Dermatologic Surgery (MDS). A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Simone A Mckitty MD Inc was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.