Active NPI
Kranthi Nandan Seelaboyina, M.D.
- Pediatrics Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- S9407
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 422419801 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2022-0323 | NM | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Odessa | Pediatrics | Current | 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
- 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.
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
Pediatrics
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1740273994
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.