50-State Guide
California
Data provenance — all states
- Licensure Unverified Report an error
- Endorsement Verified 2026-08-14 Report an error
- Renewal Unverified Report an error
- CME Unverified Report an error
- Practice Unverified Report an error
- Relinquishment Verified 2026-08-14 Report an error
- Value Unverified Report an error
At a Glance
| Category | Details |
|---|---|
| IMLC Member | No |
| FCVS | Accepted |
| NP Independent Practice | Yes (3 yrs) |
| PA Independent Practice | No |
| Physician-Owned PC Allowed | Yes (51%) |
| Max NPs per Physician | 4 |
| Max PAs per Physician | 8 |
Licensure
| Item | Cost |
|---|---|
| Initial License | $805 |
| Renewal Fee | $1,206 |
| Renewal Cycle | Biennial |
| Annualized Cost | $603 |
| Controlled Substance Registration | No |
Endorsement & Reciprocity
- Available: Yes
- Years licensed required: 4
- Verification scope: MBC's own fee schedule, IMLC-status page, and BRN NP independent-practice (NPR-I) page could not be located/fetched successfully (404s, unhelpful homepage, DNS error on rn.ca.gov) within remaining WebFetch-only budget; most fields left null rather than guessed from general knowledge.
Verified 2026-08-14 Report an error
APC Supervision
In-state requirement for supervising physicians: Ready availability; physical presence not required.
Nurse Practitioners
NPs can practice independently after 3 yrs of supervised practice in California.
- Maximum NPs per physician: 4
Physician Assistants
PAs require physician supervision in California.
- Maximum PAs per physician: 8
Additional Notes
New 2026 Law: PA ratio increased from 4 to 8.
CME & Training Requirements
| Requirement | Details |
|---|---|
| Total CME | 50 hours |
| Category 1 Minimum | 50 hours |
| Cycle | Biennial |
| Opioid / SUD | 12 hrs one-time |
| DEA MATE Act | 8 hrs one-time (federal) |
| Jurisprudence Exam | Required |
Fingerprint Requirements
| Detail | Info |
|---|---|
| Required | Yes |
| FBI Check | Yes |
| Method | LiveScan / Ink cards (FD-258) |
| Out-of-State Options | Available |
Malpractice Insurance
Malpractice insurance: Not yet verified — whether this state mandates professional liability coverage as a condition of licensure is being researched.
Unverified Report an error
Giving Up a License
- Status after lapse: A license not renewed becomes delinquent; it may still generally be renewed (with fees/penalties) for up to five years after expiration, after which it cannot simply be renewed and the physician must apply for a new license.
- Lapse consequences: Practicing on an expired license is prohibited. A licensee who fails to renew within 90 days of expiration must pay the renewal fee, a penalty fee equal to 50% of the renewal fee, and the delinquency fee; the Board notifies non-renewed licensees by certified mail within 60 days of expiration.
- Voluntary surrender: Available — Physicians submit an 'Application for Voluntary Surrender of License' (Form 07R-26) with original wall certificate and wallet card; once approved the license is canceled permanently (requires a brand-new license application, current requirements, and possibly exam, to return). The Board flags that surrender may not be available while under investigation/disciplinary action, and any surrender accepted while under investigation (or in exchange for ending an investigation) is reported to the NPDB and FSMB — implying an ordinary, non-discipline surrender is not so reported.
- Reinstatement: Within 5 years of expiration, a licensee may renew (pay accrued fees, delinquency fee, $25 mandatory fee, penalty fee, complete one renewal period's worth of CME). If the license expired more than 5 years ago, or was voluntarily canceled/surrendered at any time, the physician must reapply for a new license under current requirements (Business and Professions Code section 2428), potentially including exams.
- Exit in good standing: Available — Retired status waives the renewal fee (mandatory $25 fee still due) and CME requirement until returned to active status; holder may not practice medicine. This is a renewal-status option (not a permanent surrender) distinct from the Voluntary Surrender process.
Verified 2026-08-14 Report an error
Quirks & Gotchas
California-specific quirks are being re-verified and will be republished with sources. (The previous content here was erroneous.)
Resources
Sources
Data compiled from state medical board websites, FSMB, and regulatory filings.
Have a correction or update? Let us know.