MR. TRACY SCOTT MACCALLUM LMT
NPI 1780709899
Specialist in Riverside, CA
NPI Status: Active since March 20, 2007
Contact Information
6926 BROCKTON AVE
#8
RIVERSIDE, CA
ZIP 92506
Phone: (951) 347-5179
Fax: (951) 779-9541
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Specialist
About TRACY MACCALLUM
This page provides the complete NPI Profile along with additional information for Tracy Maccallum, a provider established in Riverside, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1780709899 assigned on March 2007. The practitioner's primary taxonomy code is 174400000X with license number MT007176 (TX). The provider is registered as an individual and his NPI record was last updated September 2025.
- NPI
- 1780709899
- Provider Name
- MR. TRACY SCOTT MACCALLUM LMT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6926 BROCKTON AVE #8 RIVERSIDE, CA 92506
- Location Phone
- (951) 347-5179
- Location Fax
- (951) 779-9541
- Mailing Address
- 813 NAVAJO DR RIVERSIDE, CA 92507
- Mailing Phone
- (951) 347-5179
- Mailing Fax
- (951) 779-9541
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-20-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MT007176
- License State
- TX
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | 1462 (NM) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 8 | 0 | 7 | 0 | 9 | 8 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 14 | 0 | 18 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 1 + 4 + 0 + 1 + 8 + 8 + 1 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1780709899 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104999739 | HUBERT CHARLES WATKINS MD Individual | Dermatology | 6926 BROCKTON AVE SUITE 10 RIVERSIDE, CA 92506 (951) 683-0540 |
| 1841534302 | HUBERT C. WATKINS, M.D., INC. Organization | Clinic/Center (Medical Specialty) | 6926 BROCKTON AVE SUITE 10 RIVERSIDE, CA 92506 (951) 683-0540 |
| 1346431145 | DR. EDILBERTO LUMELAY AGAS JR. M.D. Individual | Pediatrics | 6926 BROCKTON AVE SUITE 6 RIVERSIDE, CA 92506 (951) 779-1670 |
| 1831510353 | LAUREN SEASTROM HUNT N.P. Individual | Nurse Practitioner (Pediatrics) | 6926 BROCKTON AVE SUITE 6 RIVERSIDE, CA 92506 (951) 779-1670 |
| 1184028557 | HERMAN A CARSTENS MD CLINIC OF OBSTETRICS AND GYNECOLOGY P C Organization | Obstetrics & Gynecology | 6926 BROCKTON AVE SUITE 7 RIVERSIDE, CA 92506 (951) 686-8600 |
| 1730723677 | KATHRYN RACHEL PORTER PA-C Individual | Pediatrics | 6926 BROCKTON AVE RIVERSIDE, CA 92506 (616) 826-9762 |
| 1780076034 | NEGEEN ZAREH D M D INC A PROFESSIONAL CORPORATION Organization | Dentist (General Practice) | 6926 BROCKTON AVE SUITE 3 RIVERSIDE, CA 92506 (951) 784-7123 |
| 1457544983 | MS. SUSAN KATALI WAGNER PA-C Individual | Physician Assistant (Medical) | 6926 BROCKTON AVE STE 9 RIVERSIDE, CA 92506 (951) 788-0370 |
| 1811103823 | MR. NARESH KUMAR SHARMA MD Individual | Orthopaedic Surgery | 6926 BROCKTON AVE SUITE 11 RIVERSIDE, CA 92506 (800) 240-8657 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780709899, enumerated in the NPI registry as an "individual" on March 20, 2007
The provider is located at 6926 Brockton Ave #8 Riverside, Ca 92506 and the phone number is (951) 347-5179
The provider's speciality is Specialist with taxonomy code 174400000X
This NPI record was last updated on March 20, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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