Mukhtar Kohistani, FNP-C
Nurse Practitioner, Family in Los Banos, CA. Individual provider (NPI-1).
NPI number1134827272
StatusActive
Last updated in NPPESJan 23, 2026
Details
- NPI
- 1134827272
- Entity type
- Individual (NPI-1)
- Name
- Mukhtar Kohistani
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2023
- Certification date
- Jan 23, 2026
- Last updated
- Jan 23, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95024296 | CA | Yes |
| 363L00000X | Nurse Practitioner | 95024296 | CA |
Practice location
1253 W I StLos Banos, CA 93635-3930
Phone 209-497-2147
Mailing address
109 Portrait LnPatterson, CA 95363-8341
Phone 209-806-4841
Other practice locations
109 Portrait Ln
Patterson, CA 95363-8341
Patterson, CA 95363-8341
Phone 209-497-2147
555 Burk Pl
Tracy, CA 95391-1134
Tracy, CA 95391-1134
Phone 209-497-2147
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Family Nurse Practitioner providers in Los Banos · All 574 providers in Los Banos
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