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BIG TREE MEDICAL GROUP LLC
NPI 1063167211
Clinic/Center - Federally Qualified Health Center (FQHC) in Denver, CO

Active since February 16, 2022
1701 S FEDERAL BLVD, DENVER, CO 80219(720) 323-0621(303) 934-4036 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2022, Feb 16, 2022 (2 updates tracked since 2022).

About Big Tree Medical Group Llc NPPES

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

BIG TREE MEDICAL GROUP LLC (NPI 1063167211) is a healthcare organization registered as a federally qualified health center (fqhc) in Denver, Colorado and active in the NPI registry since February 2022. The organization lists Antony Nguyen Vanbang, Primary Provider, as its authorized official.

NPPES Registry Identity

NPI1063167211
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBIG TREE MEDICAL GROUP LLC
Location Address1701 S FEDERAL BLVDDenver, CO 80219-4898
Mailing Address1701 S Federal BlvdDenver, CO 80219-4898 · (720) 323-0621 · Fax (303) 934-4036
Phone(720) 323-0621
Fax(303) 934-4036
Organization SubpartNo
Authorized OfficialAntony Nguyen VanbangPrimary Provider · (720) 323-0621
Enumeration DateFebruary 16, 2022
Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
✔ NPI 1063167211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1701 S FEDERAL BLVD, Denver, CO 80219
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Other Names 1

Doing Business AsBig Tree Medical Group Llc

Other Identifiers 1

OtherDR.0054747CO · Colorado Department Of Regulatory Agencies Division Of Professions And Occupatio

Other Providers at the Same Location NPPES 3

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

SAN ANTONIO MEDICAL CENTER LLC
General Practice
1701 S FEDERAL BLVD, UNIT D
DENVER, CO 80219
Denver County (303) 936-1760
SAM CLINIC
Family Medicine (Adult Medicine)
1701 S FEDERAL BLVD
DENVER, CO 80219
Denver County (720) 666-5116
DENVER FAMILY HEALTH
Family Medicine
1701 S FEDERAL BLVD
DENVER, CO 80219
Denver County (303) 936-1760

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 Big Tree Medical Group LLC's NPI number?

The NPI number for Big Tree Medical Group LLC is 1063167211. It was assigned to this organization in the NPPES registry on February 16, 2022.

Where is Big Tree Medical Group LLC located?

Big Tree Medical Group LLC is located at 1701 S Federal Blvd, Denver, CO 80219. The listed phone number is (720) 323-0621.

What is Big Tree Medical Group LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Big Tree Medical Group LLC was last updated on March 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.