1. Home
  2. Directory
  3. California
  4. Apple Valley
  5. Specialist
  6. NPI Profile

LONGEVITY MANAGEMENT GROUP, LLC
NPI 1922438886
Specialist in Apple Valley, CA

Active since November 13, 2013
15982 QUANTICO RD, SUITE D, APPLE VALLEY, CA 92307(760) 242-8900 Get Directions Write a Review

NPPES record last updated: November 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Longevity Management Group, Llc NPPES

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

LONGEVITY MANAGEMENT GROUP, LLC (NPI 1922438886) is a healthcare organization registered as a specialist in Apple Valley, California and active in the NPI registry since November 2013. The organization lists Christina Brodbeck, Director, as its authorized official.

NPPES Registry Identity

NPI1922438886
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLONGEVITY MANAGEMENT GROUP, LLC
Location Address15982 QUANTICO RD, SUITE DApple Valley, CA 92307-1382
Mailing Address15982 Quantico Rd, Suite DApple Valley, CA 92307-1382 · (760) 242-8900
Phone(760) 242-8900
Organization SubpartNo
Authorized OfficialChristina BrodbeckDirector · (760) 242-8900
Enumeration DateNovember 13, 2013
✔ NPI 1922438886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · PT 26869
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
15982 QUANTICO RD, Apple Valley, CA 92307
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KHOI N NGUYEN M.D.
Internal Medicine (Gastroenterology)
15982 QUANTICO RD, SUITE F
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-3768
DAVID F. VARGAS, M.D., INC.
Exclusive Provider Organization
15982 QUANTICO RD
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-2361
KHOI N NGUYEN, INC
Internal Medicine (Gastroenterology)
15982 QUANTICO RD, SUITE F
APPLE VALLEY, CA 92307
San Bernardino County (760) 242-3768
BEVERLY J NESTER MD
Family Medicine
15982 QUANTICO RD, SUITE E
APPLE VALLEY, CA 92307
San Bernardino County (760) 810-7800

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 Management Group, LLC's NPI number?

The NPI number for Longevity Management Group, LLC is 1922438886. It was assigned to this organization in the NPPES registry on November 13, 2013.

Where is Longevity Management Group, LLC located?

Longevity Management Group, LLC is located at 15982 Quantico Rd Suite D, Apple Valley, CA 92307. The listed phone number is (760) 242-8900.

What is Longevity Management Group, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Longevity Management Group, LLC was last updated on November 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.