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

Manessa Crystal Shaw, DO

Individual provider Family Medicine Physician · NPI 1770900821

Manessa Crystal Shaw, DO is a Family Practice in Mission Hills, California. Qualified in 2014, 12 years ago. Works from 3 locations. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone: (818) 365-9531
Fax: (818) 837-5559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 18406 Roscoe Blvd, Northridge, CA 91325-4107 — (818) 993-4054
  • 1245 16th St Ste 125, Santa Monica, CA 90404-1240 — (310) 315-8900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A14739 (CA)

Record details

NPI number1770900821
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 26, 2014
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Mission Hills