Obsidian Blackwolf
NPI 1043010069 · Rehabilitation Practitioner · Huntington Park, CA
Obsidian Blackwolf is a Rehabilitation Practitioner provider in Huntington Park, CA (NPI 1043010069).
Provider details
- NPI number
- 1043010069
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2025-03-18
- Last updated
- 2025-08-13
- Certified
- 2025-08-13
Frequently asked questions
- What is Obsidian Blackwolf's NPI number?
- Obsidian Blackwolf's National Provider Identifier (NPI) is 1043010069, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Obsidian Blackwolf's specialty?
- Obsidian Blackwolf is listed in the NPPES registry with a primary specialty of Rehabilitation Practitioner (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Obsidian Blackwolf located?
- Obsidian Blackwolf's practice location on file with NPPES is 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699.
- What is Obsidian Blackwolf's phone number?
- The practice phone number listed in the NPPES registry for Obsidian Blackwolf is (323) 346-0960.
- Is Obsidian Blackwolf's NPI active?
- Yes — Obsidian Blackwolf's NPI (1043010069) is active in the NPPES registry as of the last update on 2025-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.