Provider Demographics
NPI:1770478067
Name:GOLDEN ONE MEDICAL GROUP INC
Entity type:Organization
Organization Name:GOLDEN ONE MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAGRAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:NIJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-788-5660
Mailing Address - Street 1:945 SHASTA ST STE 100
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-4124
Mailing Address - Country:US
Mailing Address - Phone:530-736-5003
Mailing Address - Fax:
Practice Address - Street 1:945 SHASTA ST STE 100
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-4124
Practice Address - Country:US
Practice Address - Phone:530-736-5003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty