Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Ridge Family Medicine LLC

Organization Family Medicine Physician · NPI 1770509754

Jordan Ridge Family Medicine LLC is a Family Medicine Physician in Salt Lake City, Utah. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6321 S Redwood Rd Ste 201
Salt Lake City, UT 84123-6798
Phone: (801) 265-2212
Fax: (801) 265-0103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1770509754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Castillo — Medical Staff Manager · (702) 480-2550
NPI enumeratedJuly 14, 2006
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023
Mailing address6321 S Redwood Rd, Suite 201, Salt Lake City, UT 84123-6798

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