REX AMBATALI JR. AGACNP-BC, PMHNP-BC
NPI 1013308485
Nurse Practitioner - Acute Care in Sacramento, CA
About Rex Ambatali Jr. Agacnp-bc, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REX AMBATALI JR. AGACNP-BC, PMHNP-BC (NPI 1013308485) is an individual acute care provider in Sacramento, California, licensed in California (95001863) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rex Ambatali Jr. Agacnp-bc, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Rex Ambatali Jr. reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sacramento, CA 95816
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The Univ Of Ca
- 2,570 clinicians in this Medicare group
Stockton, CA 95204
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SACRAMENTO, CA 95817
SACRAMENTO, CA 95817
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 Rex Ambatali Jr.'s NPI number?
The NPI number for Rex Ambatali Jr. is 1013308485. It was assigned to this individual provider in the NPPES registry on February 6, 2015.
Where is Rex Ambatali Jr. located?
Rex Ambatali Jr. practices at 4301 X St, Sacramento, CA 95817. The listed phone number is (916) 734-2011.
What is Rex Ambatali Jr.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Rex Ambatali Jr. enrolled in Medicare?
Yes. Rex Ambatali Jr. is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Rex Ambatali Jr.'s services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rex Ambatali Jr. reassigns Medicare benefits to 2 organizations: Regents Of The University Of Ca (Sacramento, CA) and Manshadi Heart Institute Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rex Ambatali Jr.'s services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rex Ambatali Jr. was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# Rex Ambatali Jr., AGACNP-BC, PMHNP-BC · NPI 1013308485
Acute Care physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since February 6, 2015.
## Identity
- **NPI:** 1013308485 (Entity type: Individual)
- **Enumerated:** February 6, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95001863 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4301 X ST, Sacramento, CA 95817-2214
- **Phone:** (916) 734-2011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of Ca (NPI 1528051679, Sacramento, CA); Manshadi Heart Institute Inc (NPI 1225380603, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013308485) · Data from the CMS NPPES public registry.