Jordan Ridge Family Medicine LLC
NPI 1770509754 · Family Medicine Physician · Salt Lake City, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Ridge Family Medicine LLC is a Family Medicine Physician organization in Salt Lake City, UT (NPI 1770509754).
Provider details
- NPI number
- 1770509754
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emily Castillo, Medical Staff Manager(702) 480-2550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2023-07-31
- Certified
- 2023-07-31
Frequently asked questions
- What is Jordan Ridge Family Medicine LLC's NPI number?
- Jordan Ridge Family Medicine LLC's National Provider Identifier (NPI) is 1770509754, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jordan Ridge Family Medicine LLC?
- Jordan Ridge Family Medicine LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jordan Ridge Family Medicine LLC located?
- Jordan Ridge Family Medicine LLC's practice location on file with NPPES is 6321 S Redwood Rd, Salt Lake City, UT 84123-6798.
- What is Jordan Ridge Family Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Jordan Ridge Family Medicine LLC is (801) 265-2212.
- Does Jordan Ridge Family Medicine LLC accept Medicare?
- Jordan Ridge Family Medicine LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jordan Ridge Family Medicine LLC?
- The authorized official listed on Jordan Ridge Family Medicine LLC's NPPES record is Emily Castillo, Medical Staff Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jordan Ridge Family Medicine LLC's NPI active?
- Yes — Jordan Ridge Family Medicine LLC's NPI (1770509754) is active in the NPPES registry as of the last update on 2023-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.