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

Jason O Lopez

Individual provider Physician Assistant · NPI 1912533076

Jason O Lopez is a Physician Assistant in Loveland, Colorado. Qualified in 2019, 7 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado, Florida and New York.

Years since qualifying
7
Licensed in
CO, FL, NY
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

2500 Rocky Mountain Ave Ste 100
Loveland, CO 80538-9004
Phone: (970) 624-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2 Tampa General Cir, Tampa, FL 33606-3571 — (813) 821-8038
  • 100 Woods Rd, Valhalla, NY 10595-1530 — (914) 493-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0009136 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 024865 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA9117464 (FL)

Record details

NPI number1912533076
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2020
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Loveland