Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mukhtar Kohistani, FNP-C

Individual provider Nurse Practitioner · NPI 1134827272

Mukhtar Kohistani, FNP-C is a Nurse Practitioner in Los Banos, California. Qualified in 2023, 3 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1253 W I St
Los Banos, CA 93635-3930
Phone: (209) 497-2147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 109 Portrait Ln, Patterson, CA 95363-8341 — (209) 497-2147
  • 555 Burk Pl, Tracy, CA 95391-1134 — (209) 497-2147

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95024296 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 95024296 (CA)

Record details

NPI number1134827272
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2023
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Los Banos