⸺PRECISION, EVIDENCE-BASED LONGEVITY MEDICINE
More years. More energy.
More of what matters.
Personalized longevity medicine designed to keep you performing at your best — for your family, your work, and the decades ahead.
⸺ THE PROBLEM
Standard healthcare is built for sick care Not optimization
You take your health seriously. And yet the system keeps handing you the same experience: an annual physical that hasn't changed in a decade, a 15-minute appointment, labs that come back "normal" — while you quietly notice your energy, sleep, focus, and recovery aren't what they used to be.
Standard medicine flags problems only after years of underlying pathology have accumulated. "Normal" ranges are statistical averages for a declining population — not a benchmark if you expect to be at your best at 60, 70, and beyond.
⸺ THE SOLUTION
A proactive, data-driven strategy Built around your biology
The gap between how seriously you take your health and how little real data you have on your own biology is exactly what this practice is designed to close.
Dr. Stagliano built this practice around a different standard: not "Are you sick?" but "Are you optimized?" — backed by advanced diagnostics, a personalized protocol, and ongoing clinical accountability.
The goal is to ensure your physical and cognitive capacity matches your ambition — for your work, your family, and everything still ahead.
⸺ HOW WE WORK TOGETHER
Two ways to work with
Dr. Rich
Whether you want a comprehensive one-time evaluation or an ongoing physician partnership, there is an entry point built for where you are right now.
LONGEVITY BASELINE ASSESSMENT
A comprehensive, physician-led diagnostic evaluation covering labs, DEXA, VO2 max, genetics, cognitive function, sleep, and hearing — followed by a dedicated results review with Dr. Rich. A precise snapshot of the current state of your health, your risks, and your opportunities for optimization — with a clear roadmap. No ongoing commitment required.
LONGEVITY MEMBERSHIP (12 Months)
A 12-month physician partnership that goes beyond assessment to action. Where the Assessment reveals where your risks and opportunities for optimization lie, the Membership is how you address them — with direct, ongoing access to Dr. Rich to implement a personalized evidence-based protocol, manage what surfaces along the way, and verify real progress with repeat testing throughout the year.
⸺ MEET DR. RICH
Dr. Rich Stagliano began his career in emergency medicine, where high-stakes diagnostics and fast, consequential decisions were the norm. After leaving the ER, he founded and ran a successful private practice in California for 15 years.
In 2022, his expertise led him to Biograph, a Silicon Valley longevity startup where he served as Medical Director of their flagship San Mateo clinic. As of September 2025, Dr. Stagliano returned to private practice — working directly with a small number of patients who want a proactive, evidence-based strategy for healthy aging and longevity.
⏺ Former emergency medicine physician
⏺ 15+ years in private practice, CA & OR
⏺ Former Medical Director, Biograph
⏺ IFM Certified (2015)
⏺ Licensed in CA, CO, FL, NY, OR, WA
⸺ PATIENT RESULTS
What patients are saying
“After years of struggling to find a doctor who I can work with to optimize my health and wellness, I’m so happy to have found Dr. Rich. Standard annual physicals were just not working for me anymore, as I’m very focused on being proactive and wanted a more comprehensive approach to my health. It’s awesome to now have someone of his caliber to work with. I would encourage anyone looking to achieve ultra wellness in their own life to give Dr. Rich a call.”
“Dr. Rich is the most incredible doctor. He is kind, compassionate, an active listener, extremely thorough and has excellent follow-through. He not only gave me the tools needed to make changes to my diet, stress levels, sleep, etc., he supported me through each step. He has changed the course of my life and to him I am forever grateful.”
“Dr. Rich brings all of himself to the treatment. In addition to his medical knowledge, he goes far beyond western medical symptom management and treats people by bringing attention to areas traditional doctors sadly ignore. Diet, stress, mindfulness, exercise, developing a positive attitude, and prioritizing ongoing health are all part of the package. He is the healthiest, most approachable, humane doctor I’ve ever met.”
⸺ OUR PARTNERS
We work with industry leaders
⸺ FREQUENTLY ASKED QUESTIONS
Common questions
Answered directly
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Your primary care doctor is working within a system built for sick-care — managing disease once it appears, in 15-minute appointments, against a panel of thousands of patients. That model has real value for acute illness. It is poorly designed for what you actually need: early detection of cardiovascular, metabolic, neurologic and cancer risk, a clear picture of where your biology stands right now, and a personalized strategy for the next 20 to 40 years.
The difference isn't just the tests we run. It's the standard we're working toward. Primary care asks "Are you sick?" This practice asks "Are you optimized?" — and uses the data to answer that question precisely.
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This is a fair question and I'll answer it directly. The interventions we focus on — VO2 max improvement, ApoB reduction, insulin resistance reversal, sleep architecture optimization, muscle mass preservation — are among the most robustly studied areas in medicine. These aren't fringe ideas. They are supported by decades of peer-reviewed research and increasingly adopted by leading academic medical centers.
What is newer is the integration of these interventions into a coherent, proactive clinical strategy rather than treating each in isolation. That is the practice of longevity medicine — and the evidence base for it strengthens every year.
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Most services in this practice are not covered by standard insurance plans, as longevity medicine operates outside the conventional sick-care reimbursement model. However, many expenses — including lab work, certain imaging, and physician consultations — may be eligible for reimbursement through a Health Savings Account (HSA) or Flexible Spending Account (FSA). I recommend confirming eligibility with your plan administrator.
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The first step towards becoming a patient is to schedule a free discovery call. On this call, you will have the opportunity to discuss your health and longevity goals with Dr. Rich and decide if becoming a patient is a good fit for you. If you are interested in scheduling, please click here.
Please note: Dr. Rich is licensed to see patients who reside in California, Colorado, Florida, New York, Oregon or Washington. If you do not live in one of these states, he will not be able to work with you.
Ready to see where you
Actually stand?
Schedule a free 20-minute discovery call. We'll discuss your health history, goals, and whether our practice is the right fit.