OrganizationActive
Longevity Medical Clinic
NPI 1023231172 · Specialist · Kirkland, WA
Longevity Medical Clinic is a Specialist organization in Kirkland, WA (NPI 1023231172).
Provider details
- NPI number
- 1023231172
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jerry Mixon, Medical Director(425) 576-9272
- License
- MD23643 (WA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9757 Ne Juanita Dr
Suite 200
Kirkland, WA 98034-4299
Phone: (425) 576-9272
Fax: (425) 576-0894
Street-level locationGet directions
Mailing address
9757 Ne Juanita Dr
Kirkland, WA 98034-4299
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2011-06-21
Frequently asked questions
- What is Longevity Medical Clinic's NPI number?
- Longevity Medical Clinic's National Provider Identifier (NPI) is 1023231172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Longevity Medical Clinic?
- Longevity Medical Clinic is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Longevity Medical Clinic located?
- Longevity Medical Clinic's practice location on file with NPPES is 9757 Ne Juanita Dr, Kirkland, WA 98034-4299.
- What is Longevity Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Longevity Medical Clinic is (425) 576-9272.
- Who is the authorized official for Longevity Medical Clinic?
- The authorized official listed on Longevity Medical Clinic's NPPES record is Jerry Mixon, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Longevity Medical Clinic's NPI active?
- Yes — Longevity Medical Clinic's NPI (1023231172) is active in the NPPES registry as of the last update on 2011-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.