Individual provider Active NPI

Demitria Kupershmidt, FNP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1912743246
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030119 Issued in CA
Practice address
2 Embarcadero Ctr
San Francisco, CA 94111-3823
Phone
(888) 663-6331
NPI assigned
Jul 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030119 CA Primary

Addresses

Primary practice location

2 Embarcadero Ctr
San Francisco, CA 94111-3823

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice location 1

4312 Woodman Ave Ste 102
Sherman Oaks, CA 91423-5523
Phone (818) 770-8999

Other practice location 2

4816 Don Pio Dr
Woodland Hills, CA 91364-4269
Phone (818) 770-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918001119 CA Practitioner - Nurse Practitioner 5395286314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mend Health IncGroup PAC ID 6406160803, 14 clinicians

Practice addresses (Care Compare)

4312 Woodman Ave
Suite 102
Sherman Oaks, CA 91423-5523
Phone (818) 646-2562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030119CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mend Health Inc CurrentSince Jul 22, 2024 Accepting new patients
Mend Medical Inc PastSince Nov 5, 2019 Accepting new patients

Locations

1701 W Verdugo Ave
Burbank, CA 91506
Phone (310) 488-2830

4312 Woodman Ave
Ste 102
Sherman Oaks, CA 91423
Phone (818) 205-9366

13636 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 763-9997

4849 Van Nuys Blvd
Ste 100
Sherman Oaks, CA 91403
Phone (818) 646-4928

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: demitria.kupershmidt.1@25159.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25159/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1912743246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EMBARCADERO CTR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113823",
            "telephone_number": "888-663-6331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4312 Woodman Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914235523",
            "country_code": "US",
            "telephone_number": "818-770-8999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4816 Don Pio Dr",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913644269",
            "country_code": "US",
            "telephone_number": "818-770-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPERSHMIDT",
        "first_name": "DEMITRIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.