MEDICARE: MICHAEL DONALD PIVARAL ACSW

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	104100000X	Social Worker	133217	CA

General Provider Information

NPI Number	:	1679430219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL DONALD PIVARAL ACSW

Provider Business Mailing Address
First Line	:	2001 E 4TH ST STE 200
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-3916
Country	:	US
Telephone Number	:	714-824-8140
Fax Number	:	714-824-8142

Provider Business Practice Location Address
First Line	:	2001 E 4TH ST STE 200
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-3916
Country	:	US
Telephone Number	:	714-824-8140
Fax Number	:	714-824-8124

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

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	04/13/2026

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