Provider Information
Last Updated : Aug 28 2026 11:04 AM
Quetzali Basulto Suarez
City Madera |
Group HEALTH NET DIRECT FFS MEDI-CAL |
Specialty Qualified Autism Svc Provider |
Last Name Basulto Suarez |
First Name Quetzali |
Address 509 S. I St. Ste C |
State CA |
Zip Code 93637 |
Phone (833)227-3454 |
Hours Mon - Fri 8:00 AM - 8:00 PM |
Gender F |
Title BCBA |
Physician ID 901064 |
Language 1 Spanish |
Section Number A |
County MADERA |
Accepting New Patient Yes |
PPG NAME HEALTH NET DIRECT FFS MEDI-CAL |
PPG ID MHDML |
NPI Number 1427556562 |
Access Requirement Basic |
PARKING_IND P |
EXT_BUILD_IND EB |
INT_BUILD_IND IB |
RESTROOM_IND R |
EXAMROOM_IND E |
License ID BCB53074 |
Board Certified No |
Office Language Spanish |
Self Access Flag Facility Site Database |
Panel Status Available by referral only |
Telemedicine Indicator TM AND IN PERSON |
