Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Gonzalo De Taboada, PA-C

Individual provider Physician Assistant · NPI 1831458116

Mr. Gonzalo De Taboada, PA-C is a Physician Assistant in Colorado Springs, Colorado. Graduated from Baylor College of Medicine in 2017, 9 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
9
Trained at
Baylor College of Medicine
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1035 Garden Of The Gods Rd Ste 120
Colorado Springs, CO 80907-3416
Phone: (719) 365-3200
Fax: (719) 365-7680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2767 Janitell Rd, Colorado Springs, CO 80906-4102 — (719) 365-2888
  • 1650 Cochrane Circle, Fort Carson, CO 80913-4604 — (719) 526-6315

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1831458116
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 8, 2012
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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