Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SIMONE NICOLE BOECKMANN MONTGOMERY MD, MPH
NPI 1699300731
Dermatology in Westlake Village, CA

Q: What is Simone Montgomery's NPI number?

The NPI number for Simone Montgomery is 1699300731. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Q: What is Simone Montgomery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Simone Montgomery was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.

Active since March 09, 2020PECOS EnrolledAccepts Medicare Assignment

1240 S WESTLAKE BLVD STE 205, WESTLAKE VILLAGE, CA 91361(805) 495-0551(805) 494-1154 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 5, 2026, Jun 12, 2023, Mar 9, 2020 (3 updates tracked since 2020).

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About Simone Nicole Boeckmann Montgomery Md, Mph NPPES

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

SIMONE NICOLE BOECKMANN MONTGOMERY MD, MPH (NPI 1699300731) is an individual dermatology provider in Westlake Village, California, licensed in California (A180644) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of University Of Southern California Keck School Of Medicine (2021).

NPPES Registry Identity

NPI1699300731

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameSIMONE NICOLE BOECKMANN MONTGOMERYCredential: MD, MPH

Location Address1240 S WESTLAKE BLVD STE 205Westlake Village, CA 91361-1992

Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 948-0291 · Fax (561) 859-0429

Phone(805) 495-0551

Fax(805) 494-1154

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2021

Enumeration DateMarch 9, 2020

Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1699300731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in CA · A180644

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.

1240 S WESTLAKE BLVD STE 205, Westlake Village, CA 91361

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Secondary Practice Location 1

Location 11200 N State Street, General Hospital, Dermatology - Rm 3250Los Angeles, CA 90033 · Phone (323) 409-3360 · Fax (323) 226-2654

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Simone Nicole Boeckmann Montgomery Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911302203

PECOS Enrollment IDI20241118001701

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$77.11 typical visit price

range $20.68 – $151.85

Typical copayment $19.27 (range $5.17 – $37.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS YASAMINE CURRIE P.A.-C

Physician Assistant