Organization Active NPI

Simone a McKitty MD Inc

  • Dermatology Physician
  • Torrance, CA
National Provider Identifier
1154723625
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
C127807 Issued in CA
Legal business name
SIMONE A MCKITTY MD INC
Practice address
3440 Lomita Blvd
Suite 442
Torrance, CA 90505
Phone
(310) 530-5451
NPI assigned
Sep 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Simone McKitty, MDNPI 1730280298
Title
MD/Owner
Phone
(310) 530-5451

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X C127807 CA Primary

Addresses

Primary practice location

3440 Lomita Blvd
Suite 442
Torrance, CA 90505

Mailing address

3440 Lomita Blvd
Suite 442
Torrance, CA 90505
Phone (310) 530-5451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141208002311 CA Part B Supplier - Clinic/Group Practice 0941522635 Receives reassigned benefits from 2 practitioners
Practice locations: Torrance, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0551024Simone a McKitty, MD Inc3440 W Lomita Blvd Ste 442, Torrance, CA 90505ComplianceFeb 28, 2026

National Provider Directory

National Provider Directory

Locations

3440 Lomita Blvd
Ste 442
Torrance, CA 90505
Phone (310) 530-5451

Practitioners & affiliated clinicians

Practitioners 3

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": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1154723625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "SUITE 442",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-530-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 LOMITA BLVD",
            "address_2": "SUITE 442",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-530-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONE A MCKITTY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "MCKITTY",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "310-530-5451",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C127807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.