Manessa Crystal Shaw
Medical Specialty
Professional ID
- NPI: 1770900821
- PECOS ID: 6406146224
- Enrollment ID: I20170209000716
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2014
Hospital Service
- Hospital CCN1: 050278
- Business Name (LBN)1: Providence Holy Cross Medical Center
Medical Practices
- Organization Name: Facey Medical Foundation
- Group Practice ID assigned by PECOS: 3173436276
- Number of Group Practice member: 244
Location
- Address1: 26357 Mcbean Pkwy
- Address2:
- City: Valencia
- State: California
- Zip Code: 91355
- Phone Number: (661)222-2600
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):