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

Jordan Ridge Family Medicine LLC

Organization Primary Care Clinic/Center · NPI 1962166710

Jordan Ridge Family Medicine LLC is a Primary Care Clinic/Center in Sandy, Utah. Registered with an NPI since 2021.

In the registry since
2021
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

1403 E Sego Lily Dr
Sandy, UT 84092-4350
Phone: (385) 274-3959
Fax: (385) 274-3970
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1962166710
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Castillo — Manager · (702) 480-2550
NPI enumeratedOctober 27, 2021
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

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