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MAVIE CLINIC PROFESSIONAL NURSING CORPORATION
NPI 1245189190
Nurse Practitioner - Family in Patterson, CA

Active since January 23, 2026
109 PORTRAIT LN, PATTERSON, CA 95363(209) 806-4841(209) 290-3320 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, Jan 23, 2026 (2 updates tracked since 2026).

About Mavie Clinic Professional Nursing Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAVIE CLINIC PROFESSIONAL NURSING CORPORATION (NPI 1245189190), doing business as Mavie Clinic, is a healthcare organization registered as a family in Patterson, California and active in the NPI registry since January 2026. The organization lists Mukhtar Kohistani, President, as its authorized official.

NPPES Registry Identity

NPI1245189190
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMAVIE CLINIC PROFESSIONAL NURSING CORPORATION
Location Address109 PORTRAIT LNPatterson, CA 95363-8341
Mailing Address109 Portrait LnPatterson, CA 95363-8341 · (209) 806-4841 · Fax (209) 290-3320
Phone(209) 806-4841
Fax(209) 290-3320
Organization SubpartNo
Authorized OfficialMukhtar KohistaniPresident · (209) 806-4841
Enumeration DateJanuary 23, 2026
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1245189190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
109 PORTRAIT LN, Patterson, CA 95363
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Other Names 1

Doing Business AsMavie Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mavie Clinic Professional Nursing Corporation's NPI number?

The NPI number for Mavie Clinic Professional Nursing Corporation is 1245189190. It was assigned to this organization in the NPPES registry on January 23, 2026. The provider is doing business as Mavie Clinic.

Where is Mavie Clinic Professional Nursing Corporation located?

Mavie Clinic Professional Nursing Corporation is located at 109 Portrait Ln, Patterson, CA 95363. The listed phone number is (209) 806-4841.

What is Mavie Clinic Professional Nursing Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mavie Clinic Professional Nursing Corporation was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.