Roxana Yezdi Godiwalla, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20A15794 Issued in CA

Practice address

5565 Grossmont Center Dr Ste 551
La Mesa, CA 91942-3078

Phone

(619) 465-2020

Fax

(619) 387-4951

NPI assigned

May 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Edward Via Col of Osteo Medicine-Carolinas Campus, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Institute of California Medical Group, a California Medical ParGroup PAC ID 4587760749, 76 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.31 of 100Reported as group

Quality

78.96

Promoting interoperability

100

Improvement activities

40

Cost

71.72

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Retina Institute of California Medical Group, a California Medical Par

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1760541569
  Medicare reassignment Care Compare group NPD
• Barry a. Katzman, M.D., Inc Apc

  • Optometrist
  • San Diego, CA
  • NPI 1588842488
  NPD (past)

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

{
    "created_epoch": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1972950426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 551",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423078",
            "telephone_number": "619-465-2020",
            "fax_number": "619-387-4951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 Genesee Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371208",
            "country_code": "US",
            "telephone_number": "858-457-3010",
            "fax_number": "858-457-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODIWALLA",
        "first_name": "ROXANA",
        "middle_name": "YEZDI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-14",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A15794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Glasson, RPH
• Timothy Lee Glaze
• Gloria L Mayora-Mejia DDS Inc
• Glorious Strands
• GN Hearing Care Corp
• Peter Joseph Godoy III, DPM
• Natasha Godwin, RDN
• Lauren Goetz
• Andrea Goicoechea, NP
• Frank J. Goicoechea, M.D.

• Ophthalmology Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.