MEET RICH STAGLIANO, MD
From the ER to the cutting edge of
Longevity medicine
A career spent turning clinical research into real-world application — now focused on helping patients stay sharp, resilient, and operating at full capacity for decades to come.
Staying healthy for the long run requires an approach built for the demands of today — one that keeps you sharp, resilient, and capable of the life you've planned. Most medical care falls well short of that bar. Dr. Rich Stagliano built his practice to offer something different.
Dr. Rich has spent his career turning cutting-edge clinical research into real-world application and has been practicing medicine for over 25 years, including almost a decade as an emergency room physician — a foundation that instilled rapid pattern recognition, decisiveness under pressure, and a systems-level view of human physiology. Most recently, he served as Medical Director at Biograph in San Mateo, CA (2022–2025), one of the country's leading longevity and precision health clinics. He founded this practice — formerly Live Fit Medicine — in San Francisco in 2008, and is now based in Bend, Oregon.
The wellness industry is full of noise. Dr. Rich cuts through it. His practice is built on a simple conviction: a small number of evidence-based interventions drive the overwhelming majority of long-term healthspan. Everything else is a distraction.
Dr. Rich isn't here to help you simply live longer. He's here to ensure your physical and cognitive capacity matches your personal and professional goals — for decades to come.
⸺ PATIENT PHILOSOPHY
Three principles that guide
Every patient relationship
⸻
CLINICAL AUTHORITY
Complex longevity science, translated into actionable, evidence-based protocols. No biohacks — only strategies supported by peer-reviewed data and calibrated to your specific biology and physiology.
⸻
EMPATHETIC PARTNERSHIP
A physician who takes the time to actually listen — to your history, your symptoms, and your goals — and stays engaged as your life and biology change. Not just a plan, but the ongoing clinical partnership to execute it.
⸻
OPERATIONAL EXCELLENCE
Your health treated as a sophisticated system. Identifying the biological and physiological bottlenecks and applying precise interventions to resolve them.
Qualifications & experience
CURRENT PRACTICE
Founder and Physician, Rich Stagliano MD (formerly Live Fit Medicine) — serving patients in San Francisco since 2008, now based in Bend, Oregon.
FORMER ROLE
Medical Director, Biograph — San Mateo, CA (2022–2025), one of the country's leading longevity and precision health clinics.
EDUCATION
MD, Drexel University School of Medicine (1999)
Emergency Medicine Residency, Philadelphia (2002)
CLINICAL BACKGROUND
Emergency Room Physician (1999–2007) — a foundation that instilled rapid pattern recognition, decisiveness under pressure, and a systems-level view of human physiology.
LICENSURE
Fully licensed in California, Colorado, Florida, New York, Oregon, and Washington.
Beyond the clinic
⏺ Originally from the Philadelphia area, Dr. Rich relocated to San Francisco in 2002 and now lives in Bend, Oregon, with his wife, young son, and newborn daughter — a town that suits him perfectly.
⏺ In his mid 50s, he's navigating the most demanding challenge of his life: fatherhood to a 3-year-old and a newborn. Starting a family later in life has given him a perspective that goes beyond clinical data. He doesn't just want more years — he wants the physical and cognitive vitality to be fully present for his son and daughter's childhood. To get down on the floor, keep up on the trail, and be the dad who shows up with energy to spare.
⏺ When he's not working or keeping up with his toddler and newborn, he's outside — hunting singletrack on his mountain bike, chasing waves on his surfboard, or tracking down powder on his snowboard. Dr. Rich practices what he prescribes: movement, recovery, and a life lived at full capacity.
GET STARTED
The first step is
A conversation
Schedule a free 20-minute discovery call with Dr. Rich.
No obligation - just an honest conversation about where you are, what you are looking for, and whether this is the right fit.