Peter Joseph Godoy III, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E6178 Issued in CA

Practice address

5565 Grossmont Center Dr Ste 3
Suite 510
La Mesa, CA 91942-3007

Phone

(619) 303-7130

NPI assigned

May 31, 2022

Last updated

Sep 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Burbank Podiatry Asscociates Group a Professional CorporationGroup PAC ID 2264450683, 24 clinicians

Upperline Healthcare California PCGroup PAC ID 3577975945, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: peter.godoy.1@4399.direct.athenahealth.com
• Direct secure messaging: pgodoy1235318@epic00.shdirect.org

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

• Burbank Podiatry Asscociates Group a Professional Corporation

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
  • NPI 1659470367
  Medicare reassignment Care Compare group NPD
• Upperline Healthcare California PC

  • Podiatric Clinic/Center
  • Orange, CA
  • NPI 1225663826

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Upperline Healthcare California, PC

  • Foot & Ankle Surgery Podiatrist
  • La Mesa, CA
  • NPI 1093399412

  Primary Podiatric Medicine

  NPD

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

• Grossmont Hospital Corporation

  dba Sharp Grossmont Hospital

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811
  Care Compare affiliation

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1922747930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 3",
            "address_2": "SUITE 510",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 3",
            "address_2": "SUITE 510",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423007",
            "telephone_number": "619-303-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODOY",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MI",
            "license": "5951001465",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5951001465",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E6178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Lee Glaze
• Gloria L Mayora-Mejia DDS Inc (Maycer Dental)
• Glorious Strands
• GN Hearing Care Corp (Beltone Electronics Corp)
• Roxana Yezdi Godiwalla, D.O.
• Natasha Godwin, RDN
• Lauren Goetz
• Andrea Goicoechea, NP
• Frank J. Goicoechea, M.D.
• Ronald K Goldberg, M.D.

• Foot & Ankle Surgery Podiatrist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.