Individual provider Active NPI

Geny Augustine, MD

  • Family Medicine Physician
  • Redwood City, CA
National Provider Identifier
1083108401
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63631 Issued in AZ
Practice address
401 Warren St Ste 300
Redwood City, CA 94063-1536
Phone
(240) 693-3281
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63631 AZ Primary
Family Medicine Physician 207Q00000X MT216298 PA

Addresses

Primary practice location

401 Warren St Ste 300
Redwood City, CA 94063-1536

Mailing address

7701 W Aspera Blvd
Glendale, AZ 85308-7947
Phone (623) 465-6060

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211004000102 AZ Practitioner - Family Practice 4082012240 Reassigns benefits to 1 organization
I20260113001741 VA Practitioner - Family Practice 4082012240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Solace Health Medical Group IncGroup PAC ID 9830540624, 122 clinicians

Practice addresses (Care Compare)

2025 N 3Rd St
Suite B300
Phoenix, AZ 85004-1486
Phone (240) 693-3281

44679 Endicott Dr
Unit 451
Ashburn, VA 20147-5565
Phone (240) 693-3281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63631AZMDFamily Medicine Physician
MT216298PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Solace Health Medical Group Inc Family Medicine CurrentSince Feb 21, 2025 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Banner Physician Specialists Arizona LLC PastSince Nov 3, 2024 Accepting new patients

Locations

120 19th St N
Ste 200
Birmingham, AL 35203

20751 W Market St
Buckeye, AZ 85396
Phone (623) 463-5000

9780 S Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 474-8101

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

2025 N 3rd St
Ste B300
Phoenix, AZ 85004
Phone (480) 482-1838

13995 W Statler Blvd
Bldg 1
Surprise, AZ 85374
Phone (623) 478-3100

401 Warren St
Ste 300
Redwood City, CA 94063
Phone (650) 365-9997

75-5915 Walua Rd
Unit 135
Kailua Kona, HI 96740

501 S Rancho Dr
Ste D201015
Las Vegas, NV 89106

44679 Endicott Dr
Unit 451
Ashburn, VA 20147

120 Bishops Way
Brookfield, WI 53005

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1083108401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 W ASPERA BLVD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087947",
            "telephone_number": "623-465-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WARREN ST STE 300",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631536",
            "telephone_number": "240-693-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTINE",
        "first_name": "GENY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "63631",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT216298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.