Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Simone Nicole Boeckmann Montgomery, MD, MPH

Individual provider Dermatology Physician · NPI 1699300731

Simone Nicole Boeckmann Montgomery, MD, MPH is a Dermatology in Westlake Village, California. Graduated from University of Southern California Keck School of Medicine in 2021, 5 years ago. Practices with Integrated Dermatology of Westlake Village PC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
University of Southern California Keck School of Medicine
Licensed in
CA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

1240 S Westlake Blvd Ste 205
Westlake Village, CA 91361-1992
Phone: (805) 495-0551
Fax: (805) 494-1154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 N State Street, Los Angeles, CA 90033 — (323) 409-3360

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A180644 (CA)

Record details

NPI number1699300731
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedMarch 9, 2020
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Integrated Dermatology Of Westlake Village Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Westlake Village