Individual provider Active NPI

Kranthi Nandan Seelaboyina, M.D.

  • Pediatrics Physician
  • Stockton, CA
National Provider Identifier
1154787307
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S9407 Issued in TX
Practice address
2349 N California St
Stockton, CA 95204-5505
Phone
(209) 469-2229
NPI assigned
Jan 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S9407 TX Primary
Pediatrics Physician 208000000X 207371 CA

Addresses

Primary practice location

2349 N California St
Stockton, CA 95204-5505

Mailing address

7273 Murray Dr Ste 18
Stockton, CA 95210-3386
Phone (432) 703-5310

Other identifiers 1

IdentifierTypeStateIssuer
422419801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210412000414 TX Practitioner - Pediatric Medicine 5496179921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2022-0323NMMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Odessa Pediatrics CurrentSince Sep 5, 2023 Accepting new patients
Ector County Hospital District Past Accepting new patients

Locations

316 Secor St
Midland, TX 79701
Phone (432) 570-0052

701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
Ste 3142
Odessa, TX 79763
Phone (432) 703-5299

701 W 5th St
Ste 2C30L
Odessa, TX 79763
Phone (432) 620-1041

701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222

Interoperability endpoints

  • Direct secure messaging: kseelaboyina146408@direct.phhs.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1154787307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7273 MURRAY DR STE 18",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952103386",
            "telephone_number": "432-703-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045505",
            "telephone_number": "209-469-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELABOYINA",
        "first_name": "KRANTHI NANDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-04",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S9407",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "207371",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422419801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.