Individual provider Active NPI

Lakai Monee Banks-Dean, MD

  • Addiction Medicine (Family Medicine) Physician
  • El Cajon, CA
National Provider Identifier
1346746930
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
A167046 Issued in CA
Practice address
1240 Broadway
El Cajon, CA 92021-4994
Phone
(619) 841-1310
NPI assigned
Apr 2, 2018
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A176046 CA
Family Medicine Physician 207Q00000X 167046 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X A167046 CA Primary

Addresses

Primary practice location

1240 Broadway
El Cajon, CA 92021-4994

Mailing address

1240 Broadway
El Cajon, CA 92021-4994
Phone (619) 841-1310

Other practice location 1

7105 NE 40th St
Vancouver, WA 98661-3058
Phone (360) 993-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008003828 TX Practitioner - Family Practice 8224496401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revive PathwayGroup PAC ID 4284081639, 12 clinicians

Practice addresses (Care Compare)

1240 Broadway
El Cajon, CA 92021-4994
Phone (619) 841-1310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
167046CAMDFamily Medicine Physician
A176046CAMDFamily Medicine Physician
A167046CAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Health Authority CurrentSince Aug 26, 2024 Accepting new patients
Revive Pathway CurrentSince Jul 26, 2024 Accepting new patients
Puyallup Tribal Opioid Clinic, Inc. CurrentSince Aug 27, 2024 Accepting new patients

Locations

1240 Broadway
El Cajon, CA 92021
Phone (619) 841-1310

6650 Gunpark Dr
Ste 100
Boulder, CO 80301

503 E 26th St
Tacoma, WA 98421
Phone (253) 881-7001

Interoperability endpoints

  • Direct secure messaging: lbanksdean371828@direct.llu.edu

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1346746930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214994",
            "telephone_number": "619-841-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 BROADWAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920214994",
            "telephone_number": "619-841-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7105 NE 40th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986613058",
            "country_code": "US",
            "telephone_number": "360-993-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS-DEAN",
        "first_name": "LAKAI",
        "middle_name": "MONEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A176046",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "167046",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A167046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.