Active NPI
Mallette Asmuth, MD
- Cardiovascular Disease Physician
- Larkspur, CA
National Provider Identifier
1023515988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A209644
- Practice address
- 2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144 - Phone
- (415) 927-0666
- NPI assigned
- Apr 9, 2018
- Last updated
- Jun 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DR0070795 | CO | |
| Cardiovascular Disease Physician | 207RC0000X | A209644 | CA | Primary |
Addresses
Primary practice location
2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144
Mailing address
12631 E 17TH Ave
Aurora, CO 80045-2527
Other practice location 1
12631 E 17th Ave
Aurora, CO 80045-2527
Phone (303) 724-5629
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230710001874 | CO | Order and Referring Only - Cardiovascular Disease (Cardiology) | 8527318955 |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- George Washington University School of Medicine, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
119 S Harrison St
Unit 106
Denver, CO 80209-3478
12631 E 17TH Ave
Aurora, CO 80045-2527
2001 The Embarcadero
San Francisco, CA 94143-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR0070795 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Issaquah Obstetrics and Gynecology PLLC | Past | Accepting new patients | |
| Overlake Medical Clinics, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Issaquah, WA
- NPI 1073581807
-
- Specialist
- Bellevue, WA
- NPI 1801828421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1023515988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12631 E 17TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BON AIR RD STE 100",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391144",
"telephone_number": "415-927-0666"
}
],
"practiceLocations": [
{
"address_1": "12631 E 17th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452527",
"country_code": "US",
"telephone_number": "303-724-5629",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASMUTH",
"first_name": "MALLETTE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR0070795",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A209644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Larkspur, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.