Individual provider Active NPI

Seanna Rae Grob, MD, MAS

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Orange, CA
National Provider Identifier
1013262104
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
A148069 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(714) 456-7183
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 265616 MA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X A148069 CA Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

Other practice location 1

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170519001053 CA Practitioner - Ophthalmology 8527202431 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Diego School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 9830094275, 52 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8068

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

Merit-based Incentive Payment System (MIPS)

Final score
95.23 of 100Reported as group
Quality
90.82
Improvement activities
40
Cost
79.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
265616MAMDOphthalmology Physician
A148069CAMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Ophthalmic Medical Associates, Inc Ophthalmology CurrentSince Jun 2, 2020 Accepting new patients
Optima Ophthalmic Medical Associates Inc CurrentSince Jun 2, 2020 Accepting new patients
University of California SFGH Medical Group CurrentSince Oct 1, 2019 Accepting new patients
Regents of the University of California Ophthalmology CurrentSince Jul 20, 2017 Accepting new patients
Regents of the University of California CurrentSince Sep 20, 2019 Accepting new patients
University of California San Francisco CurrentSince Sep 20, 2019 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 20, 2019 Accepting new patients
University of California San Francisco CurrentSince Sep 20, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California SFGH Medical Group Ophthalmology CurrentSince Oct 1, 2019 Accepting new patients
Regents of the University of California Ophthalmology CurrentSince Apr 25, 2017 Accepting new patients
UCSF Medical Group Business Services Ophthalmology CurrentSince Sep 20, 2019 Accepting new patients
University of California Irvine Past Accepting new patients
Massachusetts Eye and Ear Infirmary Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
University of California Irvine Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

380 W Central Ave
Ste 400
Brea, CA 92821
Phone (714) 203-1799

1229 B St
Hayward, CA 94541

1237 B St
Hayward, CA 94541
Phone (510) 886-3937

19210 Jamboree Rd
Irvine, CA 92612
Phone (657) 579-7000

850 Health Sciences Rd
Irvine, CA 92617
Phone (949) 824-0606

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Bldg 30A
Orange, CA 92868

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1013262104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-523-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-7183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Charles St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021143002",
            "country_code": "US",
            "telephone_number": "617-523-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROB",
        "first_name": "SEANNA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD, MAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "265616",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A148069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.