Individual provider Active NPI

Dean Angel Bejaoui, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Cajon, CA
National Provider Identifier
1316680432
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95027730 Issued in CA
Practice address
460 N Magnolia Ave Ste 110
El Cajon, CA 92020-3610
Phone
(619) 440-5133
NPI assigned
Apr 16, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95027730 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

460 N Magnolia Ave Ste 110
El Cajon, CA 92020-3610

Mailing address

5060 Shoreham PL Ste 330
San Diego, CA 92122-5976
Phone (877) 840-6956

Other practice location 1

2386 Faraday Ave Ste 110
Carlsbad, CA 92008-7222
Phone (877) 840-6956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124004582 CA Practitioner - Nurse Practitioner 4284126509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 601422
San Diego, CA 92160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027730CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sokyahealth Medical Group PC CurrentSince Jan 1, 2026 Accepting new patients
Community Research Foundation Inc PastSince Apr 24, 2022 Accepting new patients
Shashita Inamdar MD Professional Corporation Past Accepting new patients
Community Research Foundation, Inc. PastSince Apr 24, 2022 Accepting new patients

Locations

2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060

2386 Faraday Ave
Ste 111
Carlsbad, CA 92008

5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1316680432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 SHOREHAM PL STE 330",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225976",
            "telephone_number": "877-840-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 N MAGNOLIA AVE STE 110",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203610",
            "telephone_number": "619-440-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2386 Faraday Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920087222",
            "country_code": "US",
            "telephone_number": "877-840-6956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEJAOUI",
        "first_name": "DEAN",
        "middle_name": "ANGEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-16",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95027730",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.