Darwin Guevarra Galicia

Primary specialty

Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X

License

496804020 Issued in CA

Practice address

1004 S McDowell Blvd
Petaluma, CA 94954-5434

Phone

(415) 209-8631

NPI assigned

May 1, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1093652679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 S MCDOWELL BLVD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545434",
            "telephone_number": "415-209-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 S MCDOWELL BLVD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545434",
            "telephone_number": "415-209-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALICIA",
        "first_name": "DARWIN",
        "middle_name": "GUEVARRA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "CA",
            "license": "496804020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanna Lynn Frohman
• Nicole Fugo Zibelman, LAC
• Shalonda Nichole Fuller
• Skylynn Lee Funderburk
• Shaina K Gadow
• Andreina Gallardo
• Maricela Alvarado Gallardo
• Denise Hillel Galt, MSW
• Amy Jaques Galusha, MFT
• Dilma Priscilla Galvez

• Clinical Nurse Specialist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.