Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jordan Ridge Family Medicine LLC

Organization Family Medicine Physician · NPI 1770509754

Jordan Ridge Family Medicine LLC provides Family Medicine Physician services 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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