Extensive Healthcare Providers a Nursing Professional Corporation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

EXTENSIVE HEALTHCARE PROVIDERS A NURSING PROFESSIONAL CORPORATION

Practice address

1634 Plantation Way
El Cajon, CA 92019-3603

Phone

(619) 395-8558

NPI assigned

Jan 10, 2026

Organization subpart

No

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

Authorized official

Name

Mae Pet FetherlinNPI 1336092360

Title

Ceo & President

Phone

(619) 395-8558

Specialties & licenses 1

Addresses

Other names 1

• Extensive Healthcare Providers Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mae Pet Fetherlin, FNP

  • Family Nurse Practitioner
  • El Cajon, CA
  • NPI 1336092360
  NPD Authorized official

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

{
    "created_epoch": "1768003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768003200000",
    "number": "1952269870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 PLANTATION WAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 PLANTATION WAY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920193603",
            "telephone_number": "619-395-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENSIVE HEALTHCARE PROVIDERS A NURSING PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-10",
        "last_updated": "2026-01-10",
        "certification_date": "2026-01-10",
        "status": "A",
        "authorized_official_last_name": "FETHERLIN",
        "authorized_official_first_name": "MAE PET",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "619-395-8558"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extensive Healthcare Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nurse Practitioner in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.