MEDICARE: JETHRO TREES RITTER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician	20A8407	CA

General Provider Information

NPI Number	:	1457330797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JETHRO TREES RITTER D.O.

Provider Business Mailing Address
First Line	:	PO BOX 1206
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93116-1206
Country	:	US
Telephone Number	:	805-540-0689
Fax Number	:

Provider Business Practice Location Address
First Line	:	1551 BISHOP ST STE 250
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-4661
Country	:	US
Telephone Number	:	805-540-0689
Fax Number	:	805-541-4376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/13/2006
Last Update Date	:	05/12/2023

Similar Medicare Providers

1306844279 — DANIEL ROBERT MORE M.D.
Practice Location Address:

1551 BISHOP ST STE 220
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-543-2744
Practice Fax: 805-543-0539

1598746174 — DR. JEFFREY B MUNDORF M.D.
Practice Location Address:

1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-434-5530
Practice Fax: 805-434-0023

1427039916 — VANCE D RODGERS M.D.
Practice Location Address:

1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-434-5530
Practice Fax: 805-786-4220

1063492031 — CHRISTOPHER VAUGHN HOLLAND M.D.
Practice Location Address:

1551 BISHOP ST STE 250
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-540-0689
Practice Fax: 805-541-4376

1720197353 — JAMES B. CARR M.D.
Practice Location Address:

1551 BISHOP ST STE 210
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-547-2800
Practice Fax: 805-547-2801

1467596676 — MICHELLE CORINA CORDOVA PA
Practice Location Address:

1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA
93401-4661

Practice Phone: 805-434-5530
Practice Fax: 805-434-0023

Directions to “ JETHRO TREES RITTER D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.