Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRACY SCOTT MACCALLUM, LMT
Active Sole ProprietorMR. TRACY SCOTT MACCALLUM, LMT is a Specialist healthcare provider located in RIVERSIDE, California. NPI 1780709899 is currently active in the NPPES registry. Verify at CMS.
Specialist · RIVERSIDE, CA
Registration Details
- NPI Number
- 1780709899
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2007 (19.386298198679 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
1462 (NM)MT007176 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6926 BROCKTON AVE#8RIVERSIDE, CA, 925063804Browse CA providers · Browse ZIP 92506
- Phone
- 9513475179
- Fax
- 9517799541
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Other Specialist Providers in RIVERSIDE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. BABAK ZAMIRI | M.D. | 1013991041 |
| DR. ANITA I LENZ | MD | 1265498570 |
| BRIAN S. CHOI | M.D. | 1386602720 |
| DR. MARTIN SCHLUSSELBERG | M.D. | 1083658579 |
| ALAN KWASMAN | M.D. | 1558383091 |
| MRS. KATHERINE LESKO | — | 1902820400 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.