More years. More energy.
More of what matters.
Precision, evidence-based longevity medicine for men.
Designed to keep you performing at your best
— for your family, your work, and the decades ahead.
The Cost of "Standard" Healthcare
Standard medical care is designed to diagnose disease — not optimize health and performance. That's not good enough.
High performers demand precision in their professional lives — yet most leave their health to outdated physicals and generic advice from social media and podcasts. The cost is cognitive load, missed warning signs, and declining health and performance. You deserve a better approach.
The Standard Approach
❌ Sifting through conflicting longevity advice that may or may not apply to your specific physiology.
❌ Annual physicals that miss early warning signs of metabolic and cardiovascular decline.
❌ Treating health reactively — putting out fires rather than preventing them
The Optimized Approach
✔ Understanding what your labs actually mean in the context of optimal function — not just normal ranges
✔ Identifying your trajectory and whether your markers are trending toward disease over time
✔ Knowing your personalized risk factors based on your genetics, lifestyle, history, and goals.
✔ Every intervention vetted against peer-reviewed data and your unique biomarkers — signal, not noise
The optimized approach is what this practice is built around.
From The ER To The Cutting Edge Of Longevity Medicine
Dr. Rich Stagliano is a former ER doctor turned expert in preventative medicine, health optimization and longevity medicine. After leaving the ER, he founded and ran a successful private medical practice in California for 15 years. In 2022 his expertise led to him joining Biograph, a Silicon Valley longevity startup, where he served as the Medical Director of their flagship San Mateo clinic.
As of September 2025, Dr. Stagliano has returned to private practice, working directly with men who want a proactive, evidence-based strategy for healthy aging and longevity. He also consults with startups in the expanding longevity space.
FAQ
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Please see the “My approach” page for more details on how my membership works and what it includes.
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Our membership does not include primary care services and we recommend that you have a primary care provider.
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Dr. Rich is not currently seeing patients in person. All patient appointments will be scheduled via video (we use a HIPAA compliant version of Zoom) or phone.
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No. We don't accept health insurance, we are not a participating provider with Medicare or Medicaid and we cannot file insurance paperwork on your behalf.
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Dr. Rich is licensed to practice in the following states: California, Colorado, Florida, New York, Oregon and Washington.
Unfortunately, if you do not live in one of these states, he will not be able to work with you.
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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.
Schedule A Free Discovery Call
The first step toward becoming a patient is our free discovery call. This is an opportunity to discuss your health and longevity goals directly with Dr. Rich and determine if our practice is the right fit for you.
Some of Our Partners
Testimonials
“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.”
— D. From Tiburon, CA
“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.”
— M. From San Franciso, CA
“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.”