Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. EDWARD RUFFALO JR.
NPI 1295652659
Nurse Practitioner - Psychiatric/Mental Health in Glendale, CA

Active since July 06, 2026
1509 WILSON TER, GLENDALE, CA 91206(818) 409-8000 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edward Ruffalo Jr. NPPES

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

MR. EDWARD RUFFALO JR. (NPI 1295652659) is an individual psychiatric/mental health provider in Glendale, California, licensed in California (95039298) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1295652659
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. EDWARD RUFFALO JR.
Location Address1509 WILSON TERGlendale, CA 91206-4007
Mailing Address27159 Baxard PlValencia, CA 91354-2612 · (661) 202-2082
Sole ProprietorNo
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
NPI 1295652659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95039298
1509 WILSON TER, Glendale, CA 91206

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.

Student in an Organized Health Care Education/Training Program
1509 WILSON TER
GLENDALE, CA 91206
Emergency Medicine
1509 WILSON TER, EMERGENCY DEPARTMENT
GLENDALE, CA 91206
Anesthesiology
1509 WILSON TER
GLENDALE, CA 91206
Pharmacist
1509 WILSON TER
GLENDALE, CA 91206
Pharmacist
1509 WILSON TER
GLENDALE, CA 91206
Student in an Organized Health Care Education/Training Program
1509 WILSON TER
GLENDALE, CA 91206
Radiology (Diagnostic Radiology)
1509 WILSON TER
GLENDALE, CA 91206
Radiology (Vascular & Interventional Radiology)
1509 WILSON TER
GLENDALE, CA 91206

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 Edward Ruffalo's NPI number?

The NPI number for Edward Ruffalo is 1295652659. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Edward Ruffalo located?

Edward Ruffalo practices at 1509 Wilson Ter, Glendale, CA 91206. The listed phone number is (818) 409-8000.

What is Edward Ruffalo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Edward Ruffalo was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.