IndividualActive
Tracy Maccallum, LMT
NPI 1780709899 · Specialist · Riverside, CA
Tracy Maccallum, LMT is a Specialist provider in Riverside, CA (NPI 1780709899).
Provider details
- NPI number
- 1780709899
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1462 (NM)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6926 Brockton Ave
#8
Riverside, CA 92506-3804
Phone: (951) 347-5179
Fax: (951) 779-9541
Street-level locationGet directions
Mailing address
813 Navajo Dr
Riverside, CA 92507-6048
Registry dates
- Enumerated
- 2007-03-20
- Last updated
- 2025-09-11
Frequently asked questions
- What is Tracy Maccallum's NPI number?
- Tracy Maccallum's National Provider Identifier (NPI) is 1780709899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracy Maccallum's specialty?
- Tracy Maccallum is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Tracy Maccallum located?
- Tracy Maccallum's practice location on file with NPPES is 6926 Brockton Ave, Riverside, CA 92506-3804.
- What is Tracy Maccallum's phone number?
- The practice phone number listed in the NPPES registry for Tracy Maccallum is (951) 347-5179.
- Is Tracy Maccallum's NPI active?
- Yes — Tracy Maccallum's NPI (1780709899) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.