LONGEVITY HEALTHCARE, INC., A MEDICAL CORPORATION
NPI 1770096547
Clinic/Center - Medical Specialty in Newport Beach, CA

Q: What is Longevity Healthcare, Inc., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since November 14, 2017

369 SAN MIGUEL DR STE 100, NEWPORT BEACH, CA 92660(805) 704-5705 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 13, 2025, Jul 23, 2019, Jun 16, 2018 and 1 more (4 updates tracked since 2017).

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About Longevity Healthcare, Inc., A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LONGEVITY HEALTHCARE, INC., A MEDICAL CORPORATION (NPI 1770096547) is a healthcare organization registered as a medical specialty in Newport Beach, California and active in the NPI registry since November 2017. The organization lists Peter John Muran, President, as its authorized official.

NPPES Registry Identity

NPI1770096547

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameLONGEVITY HEALTHCARE, INC., A MEDICAL CORPORATION

Location Address369 SAN MIGUEL DR STE 100Newport Beach, CA 92660-7837

Mailing Address1024 Bayside Dr Ste 212Newport Beach, CA 92660-7462 · (805) 704-5705

Phone(805) 704-5705

Organization SubpartNo

Authorized OfficialPeter John MuranPresident · (805) 704-5705

Enumeration DateNovember 14, 2017

Last NPPES UpdateMay 13, 20254 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1770096547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X

369 SAN MIGUEL DR STE 100, Newport Beach, CA 92660

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Longevity Healthcare, Inc., A Medical Corporation's NPI number?

The NPI number for Longevity Healthcare, Inc., A Medical Corporation is 1770096547. It was assigned to this organization in the NPPES registry on November 14, 2017.

Where is Longevity Healthcare, Inc., A Medical Corporation located?

Longevity Healthcare, Inc., A Medical Corporation is located at 369 San Miguel Dr Ste 100, Newport Beach, CA 92660. The listed phone number is (805) 704-5705.

What is Longevity Healthcare, Inc., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Longevity Healthcare, Inc., A Medical Corporation was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.