MR. TRACY SCOTT MACCALLUM


Address: 6926 Brockton Ave, #8, Riverside, CA 92506-3804
Phone: 9513475179

MR. TRACY SCOTT MACCALLUM (NPI# 1780709899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780709899
Entity Type Individual
Full Name MR. TRACY SCOTT MACCALLUM
Credential LMT
Practice Address 6926 Brockton Ave
#8
Riverside
CA 92506-3804
Mailing Address 813 Navajo Dr
Riverside
CA 92507-6048
Practice Telephone 9513475179
Practice Fax Number 9517799541
Mailing Telephone 9513475179
Mailing Fax Number 9517799541
Enumeration Date 2007-03-20
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 174400000X Specialist MT007176 TX Other Service Providers
X 174400000X Specialist 1462 NM Other Service Providers

Office Location

Street Address 6926 BROCKTON AVE
#8
City RIVERSIDE
State CA
Zip Code 92506-3804

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386611242 Herman A Carstens Obstetrics & Gynecology 6926 Brockton Ave, Suite 7, Riverside, CA 92506-3804 2006-02-28
1730723677 Kathryn Rachel Porter Pediatrics 6926 Brockton Ave, Riverside, CA 92506-3800 2019-11-04
1780076034 Negeen Zareh, D.m.d., Inc., A Professional Corporation Dentist 6926 Brockton Ave, Suite 3, Riverside, CA 92506-3800 2015-02-24
1184028557 Herman A Carstens Md Clinic of Obstetrics and Gynecology P C Obstetrics & Gynecology 6926 Brockton Ave, Suite 7, Riverside, CA 92506-3800 2014-10-14
1831510353 Lauren Seastrom Hunt Nurse Practitioner 6926 Brockton Ave, Suite 6, Riverside, CA 92506-3804 2013-12-31
1841534302 Hubert C. Watkins, M.d., Inc. Clinic/Center 6926 Brockton Ave, Suite 10, Riverside, CA 92506-3800 2012-11-21
1457544983 Susan Katali Wagner Respiratory Therapist, Certified 6926 Brockton Ave, Ste 9, Riverside, CA 92506-3800 2007-08-17
1346431145 Edilberto Lumelay Agas Jr. Pediatrics 6926 Brockton Ave, Suite 6, Riverside, CA 92506-3800 2007-08-06
1811103823 Naresh Kumar Sharma Orthopaedic Surgery 6926 Brockton Ave, Suite 11, Riverside, CA 92506 2007-05-15
1750419438 Mission Pediatrics, Inc. Pediatrics 6926 Brockton Ave, Ste 6, Riverside, CA 92506-3804 2007-03-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902405715 Riverside Primary Care Clinic, Joanna Ayala Md Clinic/Center 3978 Merrill Ave, Riverside, CA 92506 2020-10-22
1336747005 Beatriz Arredondo Behavioral Analyst 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 2020-10-14
1740756782 Priscilla Marie Rodriguez Social Worker 3742 Tibbets St Suite 201, Riverside, CA 92506 2018-10-17
1922593946 Prevail Health Solutions, LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 7450 Chateau Ridge Ln, Riverside, CA 92506 2018-06-22
1831691880 Mckinley Children's Center Community/Behavioral Health 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 2018-03-06
1720590946 Leticia Dilworth Behavioral Analyst 3610 Central Ave Ste 46, Riverside, CA 92506 2017-10-27
1548771736 Usa Biosciences LLC Clinical Medical Laboratory 5750 Division St Ste 109, Riverside, CA 92506 2017-10-16
1922542273 Yazmar Sevilla-perez Physical Therapist 6852 Brockton Ave., Suite 212, Riverside, CA 92506 2016-12-06
1821547605 Pathway To Healing, Marriage and Family Therapy, Inc. Marriage & Family Therapist 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 2016-09-22
1952857542 Kramer and Nguyen Dental Corporation Dentist 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 2016-09-01
Find all providers in zip 92506

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy 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.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699383661 Transgender Health and Wellness Center Specialist 6700 Indiana Ave Ste 252, Riverside, CA 92506-4264 2020-07-16
1295350668 Bette Graff Specialist 4148 10th St, Riverside, CA 92501-3110 2020-06-11
1295275808 Eastern Comprehensive Medical Services Specialist 106 Sheephill Rd, Riverside, CT 06878-1120 2017-03-01
1245778331 Lynn Nevatt Specialist 3833 Jurupa Ave, Riverside, CA 92506-2221 2017-02-08
1093264145 Nephrology Associates Medical Group, Inc. Specialist 3660 Park Sierra Dr Ste 203, Riverside, CA 92505-3071 2016-09-30
1639625247 Dana Keim Specialist 6864 Indiana Ave Ste 104a, Riverside, CA 92506 2016-09-01
1720401615 Matthew Martinez Specialist 8205 Coleman St, Riverside, CA 92504-3107 2014-01-28
1649512575 Michael C Luciano Specialist 3120 Chicago Ave, Suite #170, Riverside, CA 92507-3490 2013-03-18
1508110461 Luis Angel Calvillo Jr. Specialist 246 Plews Ct, Riverside, CA 92507-1100 2012-10-30
1639474513 Jeanne Dunkel Specialist 3529 Hoover St, Riverside, CA 92504-3907 2011-01-24
Find all providers in RIVERSIDE

Competitor

Search similar providers

City RIVERSIDE
Zip Code 92506

Improve Information

Please comment or provide details below to improve the information on MR. TRACY SCOTT MACCALLUM.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches