Mukhtar Kohistani, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95024296 Issued in CA

Practice address

1253 W I St
Los Banos, CA 93635-3930

Phone

(209) 497-2147

NPI assigned

Feb 17, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital Los Banos Hospital, Los Banos, CA, CCN 050528

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mkohistani656210@hisp.ehr.sutterhealth.org

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.

• Mavie Clinic Professional Nursing Corporation

  • Family Nurse Practitioner
  • Patterson, CA
  • NPI 1245189190
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Los Banos, CA
  • NPI 1366896300
  Care Compare affiliation

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

{
    "created_epoch": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1134827272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 PORTRAIT LN",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638341",
            "telephone_number": "209-806-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 W I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353930",
            "telephone_number": "209-497-2147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Portrait Ln",
            "address_purpose": "LOCATION",
            "city": "Patterson",
            "state": "CA",
            "postal_code": "953638341",
            "country_code": "US",
            "telephone_number": "209-497-2147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Burk Pl",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953911134",
            "country_code": "US",
            "telephone_number": "209-497-2147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHISTANI",
        "first_name": "MUKHTAR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-17",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024296",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savuth Kem, PA C
• Donald Kettyls, MD
• Zeenat Khan, BDS, MS
• Santosh Khanal, MBBS
• Daniel Koh, CHW
• Pratap S Kurra, MD
• Lags Spine and Sportscare Medical Centers, Inc.
• Elisa Lara, CADC-CAS
• Marsha Ann Larson, RN
• Isabelle Lash

• Family Nurse Practitioner in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.