OrganizationActive
Mavie Clinic Professional Nursing Corporation
NPI 1245189190 · Family Nurse Practitioner · Patterson, CA
Provider details
- NPI number
- 1245189190
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mukhtar Kohistani, President(209) 806-4841
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 Portrait Ln
Patterson, CA 95363-8341
Phone: (209) 806-4841
Fax: (209) 290-3320
Street-level locationGet directions
Mailing address
109 Portrait Ln
Patterson, CA 95363-8341
Other names (DBA / former)
- Doing business as
- Mavie Clinic
Registry dates
- Enumerated
- 2026-01-23
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.