Healthcare Provider Details

I. General information

NPI: 1013095041
Provider Name (Legal Business Name): INJIL ABUBAKAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: INJIL ABU BAKER

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 LARKSPUR LANDING CIR STE 10
LARKSPUR CA
94939-1836
US

IV. Provider business mailing address

3 VILLAGE GRN N STE 321 THE PINEHILLS
PLYMOUTH MA
02360-8803
US

V. Phone/Fax

Practice location:
  • Phone: 415-924-1214
  • Fax:
Mailing address:
  • Phone: 508-224-2224
  • Fax: 508-224-1778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number231258
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC179714
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: