Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shannon Gerald Watson, DC

Individual provider Chiropractor · NPI 1639343585

Dr. Shannon Gerald Watson, DC is a Chiropractic in Malibu, California. Graduated from Palmer College Chiropractic - Davenport in 2008, 18 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Wisconsin.

Years since qualifying
18
Trained at
Palmer College Chiropractic - Davenport
Licensed in
CA, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

18103 Coastline Dr #5
Malibu, CA 90265-5744
Phone: (310) 774-6772
Fax: (310) 752-6068
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 441212 (WI)
Chiropractor Taxonomy 111N00000X · Licence 31116 (CA)

Record details

NPI number1639343585
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedApril 22, 2008
Last updated in NPPESMarch 30, 2009

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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