Rex Ambatali Jr, AGACNP-BC, FNP-C in Stockton, CA

Rex Ambatali Jr, AGACNP-BC, FNP-C is a medicare enrolled "Nurse Practitioner - Acute Care" in Stockton, California. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Regents Of The Univ Of Ca and his current practice location is 2633 Pacific Ave, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 944-5530.

Rex Ambatali Jr is licensed to practice in California (license number 95001863) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013308485.

Contact Information

	Rex Ambatali Jr, AGACNP-BC, FNP-C
	2633 Pacific Ave, Stockton, CA 95204-4429
	(209) 944-5530
	Not Available

Map and Direction

Provider's Profile

Full Name	Rex Ambatali Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	2633 Pacific Ave, Stockton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Rex Ambatali Jr graduated from nursing school in 2014

NPI Data:

NPI Number: 1013308485
Provider Enumeration Date: 02/06/2015
Last Update Date: 05/14/2025

Medicare PECOS Information:

PECOS PAC ID: 5193043123
Enrollment ID: I20150423000077

Medical Identifiers

Medical identifiers for Rex Ambatali Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013308485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95001863 (California)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	95001863 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of California Davis Medical Center	Sacramento, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The Univ Of Ca	3375456619	1468

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rex Ambatali Jr allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

Entity Name	Manshadi Heart Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225380603 PECOS PAC ID: 4789836354 Enrollment ID: O20121205000184

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rex Ambatali Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Rex Ambatali Jr, AGACNP-BC, FNP-C 4301 X St, Sacramento, CA 95817-2214 Ph: (916) 734-7463	Rex Ambatali Jr, AGACNP-BC, FNP-C 2633 Pacific Ave, Stockton, CA 95204-4429 Ph: (209) 944-5530

Reviews and Comments

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Dr. Joan S Rubinger, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2488 N California St, C/o R Winter Md, Stockton, CA 95204 Phone: 209-518-5051

Rex Ambatali Jr, AGACNP-BC, FNP-C - Medicare Nurse Practitioner in Stockton, CA