Healthcare Provider Details

I. General information

NPI: 1518131408
Provider Name (Legal Business Name): PEAK TO PEAK FAMILY PRACTICE & SPORTS MEDICINE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7768 VANCE DR STE B
ARVADA CO
80003-2153
US

IV. Provider business mailing address

7768 VANCE DR STE B
ARVADA CO
80003-2153
US

V. Phone/Fax

Practice location:
  • Phone: 303-427-7700
  • Fax: 303-427-7709
Mailing address:
  • Phone: 303-427-7700
  • Fax: 303-427-7709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number23821
License Number StateCO

VIII. Authorized Official

Name: DR. DAVID W. YAMAMOTO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 303-427-7700