Active NPI
Erin Shea Finnerty, NP
- Medical Specialty Clinic/Center
- Carlsbad, CA
National Provider Identifier
1104710334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 95034329
- Practice address
- 557 Beech Ave
Carlsbad, CA 92008-1602 - Phone
- (760) 730-6587
- NPI assigned
- Jun 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 95034329 | CA | Primary |
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
557 Beech Ave
Carlsbad, CA 92008-1602
Mailing address
622 Nautilus St
La Jolla, CA 92037-6101
Phone (615) 428-6484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95034329 | CA | MD | Medical Specialty Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Medspa | Current | Accepting new patients |
Locations
1425 Frazee Rd
San Diego, CA 92108
Phone (619) 293-7233
Organizations & group practices 1
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.
-
- Clinic/Center
- San Diego, CA
- NPI 1356130884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1104710334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 NAUTILUS ST",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920376101",
"telephone_number": "615-428-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 BEECH AVE",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081602",
"telephone_number": "760-730-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINNERTY",
"first_name": "ERIN",
"middle_name": "SHEA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-03",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "95034329",
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.