Divago LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

DIVAGO LLC

Practice address

4539 N 22ND St Ste R
Phoenix, AZ 85016-4639

Phone

(564) 651-2365

Fax

(564) 651-2365

NPI assigned

Oct 24, 2026

Last updated

Oct 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Willie White Jr

Title

President

Phone

(564) 651-2365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1792800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792800000000",
    "number": "1023915717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE R",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "564-651-2365",
            "fax_number": "564-651-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE R",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "564-651-2365",
            "fax_number": "564-651-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-24",
        "last_updated": "2026-10-24",
        "certification_date": "2026-10-24",
        "status": "A",
        "authorized_official_last_name": "WHITE JR",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "564-651-2365"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Urgent Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.