Human Longevity Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HUMAN LONGEVITY INC

Practice address

600 Gateway Blvd Ste 101
South San Francisco, CA 94080-7014

Phone

(844) 838-3322

Fax

(858) 430-2741

NPI assigned

Mar 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Julie Chen, MD

Title

Chief Clinical Officer

Phone

(949) 394-3551

Specialties & licenses 6

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zara Butte, MD

  • Internal Medicine Physician
  • South San Francisco, CA
  • NPI 1811630049
  NPD
• Lana Gleckman, RN

  • Nurse Practitioner
  • South San Francisco, CA
  • NPI 1114409059
  NPD
• Keon Pearson, MD

  • Internal Medicine Physician
  • South San Francisco, CA
  • NPI 1386264794
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1316697386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GATEWAY BLVD STE 101",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807014",
            "telephone_number": "844-838-3322",
            "fax_number": "858-430-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GATEWAY BLVD STE 101",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940807014",
            "telephone_number": "844-838-3322",
            "fax_number": "858-430-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN LONGEVITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "949-394-3551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ying Ying Hui
• Aaron Huie
• Natalee Huizar
• Angela Cricchio Hull, DNP
• Jennie Lai-Jein Hum, PHARMD
• Steven Hung, MD
• Tsungming Hung, O.D.
• Shannon Hurley
• Veronica June Hynson
• Edwina Margarita Hyson-Webb, MFT

• Family Medicine Physician in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.