Provider Demographics
NPI:1538568597
Name:NEW GENERATION HEALTH CENTER
Entity type:Organization
Organization Name:NEW GENERATION HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MISS
Authorized Official - First Name:JOELY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIZKER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:415-206-5679
Mailing Address - Street 1:625 POTRERO AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2116
Mailing Address - Country:US
Mailing Address - Phone:415-206-2379
Mailing Address - Fax:
Practice Address - Street 1:625 POTRERO AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2116
Practice Address - Country:US
Practice Address - Phone:415-206-2379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UCSF
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-15
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA950009174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty