Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Peter Joseph Godoy III, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1922747930

Dr. Peter Joseph Godoy III, DPM is a Podiatry in LA Mesa, California. Graduated from Kent State University College of Podiatric Medicine in 2022, 4 years ago. Practices with Burbank Podiatry Asscociates Group a Professional Corporation, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Michigan.

Years since qualifying
4
Trained at
Kent State University College of Podiatric Medicine
Licensed in
CA, MI
In the registry since
2022
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

5565 Grossmont Center Dr Ste 3 Ste 510
LA Mesa, CA 91942-3007
Phone: (619) 303-7130
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E6178 (CA)
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 5951001465 (MI)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence 5951001465 (MI)

Record details

NPI number1922747930
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedMay 31, 2022
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Burbank Podiatry Asscociates Group A Professional Corporation — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in LA Mesa