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JORDAN RIDGE FAMILY MEDICINE LLC
NPI 1962166710
Clinic/Center - Primary Care in Sandy, UT

Active since October 27, 2021
1403 E SEGO LILY DR, SANDY, UT 84092(385) 274-3959(385) 274-3970 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Ridge Family Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN RIDGE FAMILY MEDICINE LLC (NPI 1962166710) is a healthcare organization registered as a primary care in Sandy, Utah and active in the NPI registry since October 2021. The organization lists Emily Castillo, Manager, as its authorized official.

NPPES Registry Identity

NPI1962166710
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJORDAN RIDGE FAMILY MEDICINE LLC
Location Address1403 E SEGO LILY DRSandy, UT 84092-4350
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 579-3253
Phone(385) 274-3959
Fax(385) 274-3970
Organization SubpartNo
Authorized OfficialEmily CastilloManager · (702) 480-2550
Enumeration DateOctober 27, 2021
Last NPPES UpdateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
✔ NPI 1962166710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1403 E SEGO LILY DR, Sandy, UT 84092
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER JAMES DALLEY
Physician Assistant
1403 E SEGO LILY DR
SANDY, UT 84092
Salt Lake County (801) 265-2212
STEVEN G RICHARDSON MD
Family Medicine
1403 E SEGO LILY DR
SANDY, UT 84092
Salt Lake County (801) 316-9620
MEAGAN ELIZABETH WEBER PHARMD, BCPS
Pharmacist (Ambulatory Care)
1403 E SEGO LILY DR
SANDY, UT 84092
Salt Lake County (801) 316-9620
MR. STEPHEN J COX PA-C
Physician Assistant (Medical)
1403 E SEGO LILY DR
SANDY, UT 84092
Salt Lake County (801) 265-2212
JENNIFER JENKINSON FNP-C
Nurse Practitioner (Family)
1403 E SEGO LILY DR
SANDY, UT 84092
Salt Lake County (801) 316-9620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Ridge Family Medicine LLC's NPI number?

The NPI number for Jordan Ridge Family Medicine LLC is 1962166710. It was assigned to this organization in the NPPES registry on October 27, 2021.

Where is Jordan Ridge Family Medicine LLC located?

Jordan Ridge Family Medicine LLC is located at 1403 E Sego Lily Dr, Sandy, UT 84092. The listed phone number is (385) 274-3959.

What is Jordan Ridge Family Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jordan Ridge Family Medicine LLC was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.