Mavie Clinic Professional Nursing Corporation
NPI 1245189190ActiveOrganization· Nurse Practitioner, Family· Patterson, CA
Nurse Practitioner, Family in Patterson, California, registered in NPPES in January 2026. The authorized official on file is Mukhtar Kohistani, FNP-C, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245189190 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 23, 2026 |
| Last updated in NPPES | Jan 26, 2026 |
| Certified by provider | Jan 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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