AGNES SIMONE D.O.
NPI 1760845101
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Q: What is Agnes Simone's NPI number?

The NPI number for Agnes Simone is 1760845101. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Q: What is Agnes Simone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Agnes Simone enrolled in Medicare?

No. Agnes Simone has opted out of Medicare through November 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Agnes Simone was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 April 02, 2016Opted out of Medicare · through Nov 17, 2027

11209 NATIONAL BLVD UNIT 1112, LOS ANGELES, CA 90064(424) 401-5368 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2026, Oct 1, 2024, May 24, 2022 and 6 more (9 updates tracked since 2016).

On this page

About Agnes Simone D.o. NPPES

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

AGNES SIMONE D.O. (NPI 1760845101) is an individual psychiatry provider in Los Angeles, California, licensed in California (20A15833) and active in the NPI registry since April 2016. She has opted out of Medicare through November 17, 2027.

NPPES Registry Identity

NPI1760845101

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameAGNES SIMONECredential: D.O.

Location Address11209 NATIONAL BLVD UNIT 1112Los Angeles, CA 90064-3902

Mailing Address11209 National Blvd Unit 1112Los Angeles, CA 90064-3902 · (424) 401-5368

Phone(424) 401-5368

Sole ProprietorYes

Enumeration DateApril 2, 2016

Last NPPES UpdateJanuary 28, 20269 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2026

✔ NPI 1760845101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · 20A15833

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

11209 NATIONAL BLVD UNIT 1112, Los Angeles, CA 90064

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Agnes Simone D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 17, 2021 through November 17, 2027.

Opt-Out Effective DateNovember 17, 2021

Opt-Out In Effect ThroughNovember 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Agnes Simone's NPI number?

The NPI number for Agnes Simone is 1760845101. It was assigned to this individual provider in the NPPES registry on April 2, 2016.

Where is Agnes Simone located?

Agnes Simone practices at 11209 National Blvd Unit 1112, Los Angeles, CA 90064. The listed phone number is (424) 401-5368.

What is Agnes Simone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Agnes Simone enrolled in Medicare?

No. Agnes Simone has opted out of Medicare through November 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Agnes Simone was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.