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MR. TRACY SCOTT MACCALLUM LMT
NPI 1780709899
Specialist in Riverside, CA

Active since March 20, 2007
6926 BROCKTON AVE, #8, RIVERSIDE, CA 92506(951) 347-5179(951) 779-9541 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Tracy Scott Maccallum Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TRACY SCOTT MACCALLUM LMT (NPI 1780709899) is an individual specialist in Riverside, California, licensed in Texas (MT007176) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1780709899
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. TRACY SCOTT MACCALLUMCredential: LMT
Location Address6926 BROCKTON AVE, #8Riverside, CA 92506-3804
Mailing Address813 Navajo DrRiverside, CA 92507-6048 · (951) 347-5179 · Fax (951) 779-9541
Phone(951) 347-5179
Fax(951) 779-9541
Sole ProprietorYes
Enumeration DateMarch 20, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1780709899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in TX · MT007176✔ Licensed in NM · 1462
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUBERT CHARLES WATKINS MD
Dermatology
6926 BROCKTON AVE, SUITE 10
RIVERSIDE, CA 92506
Riverside County (951) 683-0540
HERMAN A CARSTENS MD CLINIC OF OBSTETRICS AND GYNECOLOGY P C
Obstetrics & Gynecology
6926 BROCKTON AVE, SUITE 7
RIVERSIDE, CA 92506
Riverside County (951) 686-8600
DR. EDILBERTO LUMELAY AGAS JR. M.D.
Pediatrics
6926 BROCKTON AVE, SUITE 6
RIVERSIDE, CA 92506
Riverside County (951) 779-1670
MS. SUSAN KATALI WAGNER PA-C
Physician Assistant (Medical)
6926 BROCKTON AVE, STE 9
RIVERSIDE, CA 92506
Riverside County (951) 788-0370
KATHRYN RACHEL PORTER PA-C
Pediatrics
6926 BROCKTON AVE
RIVERSIDE, CA 92506
Riverside County (616) 826-9762
NEGEEN ZAREH D M D INC A PROFESSIONAL CORPORATION
Dentist (General Practice)
6926 BROCKTON AVE, SUITE 3
RIVERSIDE, CA 92506
Riverside County (951) 784-7123
MR. NARESH KUMAR SHARMA MD
Orthopaedic Surgery
6926 BROCKTON AVE, SUITE 11
RIVERSIDE, CA 92506
Riverside County (800) 240-8657
LAUREN SEASTROM HUNT N.P.
Nurse Practitioner (Pediatrics)
6926 BROCKTON AVE, SUITE 6
RIVERSIDE, CA 92506
Riverside County (951) 779-1670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Maccallum's NPI number?

The NPI number for Tracy Maccallum is 1780709899. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Tracy Maccallum located?

Tracy Maccallum practices at 6926 Brockton Ave #8, Riverside, CA 92506. The listed phone number is (951) 347-5179.

What is Tracy Maccallum's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tracy Maccallum was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.