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

Rex Ambatali Jr, AGACNP-BC, FNP-C

Individual provider Family Nurse Practitioner · NPI 1013308485

Rex Ambatali Jr, AGACNP-BC, FNP-C is a Nurse Practitioner in Stockton, California. Qualified in 2014, 12 years ago. Practices with Regents of the Univ of Ca, a 1,578-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
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

2633 Pacific Ave
Stockton, CA 95204-4429
Phone: (209) 944-5530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95001863 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95001863 (CA)

Record details

NPI number1013308485
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC , FNP-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2015
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Regents Of The Univ Of Ca — 1578 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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