Medical Board of California

State of California

Official Website: http://mbc.ca.gov

The mission of the Medical Board of California is to protect health care consumers through the proper licensing and regulation of physicians and surgeons and certain allied health care professionals and through the vigorous, objective enforcement of the Medical Practice Act, and to promote access to quality medical care through the Board's licensing and regulatory functions.

Forms & Documents

Browse all Medical Board of California government forms

1 - 20 of 79 forms

Form Title Topics
Addendum to Question #16 Applicants, Physicians And Surgeons
Addendum to Question #24 Applicants, Physicians And Surgeons
Adverse Event Reporting Form for Accredited Outpatient Surgery Settings Mandatory Reporting
Applicant Address Change Request Applicants, Physicians And Surgeons
Applicant Declaration, Signature & Notary Applicants, Physicians And Surgeons
Application Applicants, Physicians And Surgeons
Application Applicants, Physicians And Surgeons
Application for Cancellation of a Fictitious Name Permit Applicants, Physicians And Surgeons
Application for Duplicate Certificate Applicants, Physicians And Surgeons
Application for Duplicate Fictitious Name Permit Applicants, Physicians And Surgeons
Application for Inactive License Applicants, Physicians And Surgeons
Application for Inactive License Applicants, Physicians And Surgeons
Application for Midwifery License Applicants, Midwives
Application for Registration as a Student Research Psychoanalyst Applicants, Research Student Research Psychoanalysts
Application for Research Psychoanalyst Registration Applicants, Research Student Research Psychoanalysts
Application for Waiver of Continuing Medical Education During Renewal Cycle Applicants, Physicians And Surgeons
Application Information for a Limited Practice License Applicants, Physicians And Surgeons
Application Information for a Postgraduate Training Authorization Letter (PTAL Applicants, Physicians And Surgeons
Application Information for a Previously Licensed California Physician Applicants, Physicians And Surgeons
Application to Restore License to Full, Active Status from Inactive, Disabled or Fee Exempt Status or from Disabled Status to Active Status with Limitations on Practice Applicants, Physicians And Surgeons

Contact Information & Office Locations

All 4 contact points

Headquarters

Address:
2005 EVERGREEN STREET
SUITE 1200
Sacramento, CA 95815

Phone numbers:
  • (800) 633-2322 Toll-Free
  • (916) 263-2382 (Central Complaint Unit)
  • (916) 263-2389 (Executive Office)
  • (916) 263-2394 (Office of Public Affairs)
Fax numbers:
  • (916) 263-2944
  • (916) 263-2387 (Executive Office)
  • (916) 263-2387 (Office of Public Affairs)
Emails:

Probation - L.A. Metro

Address:
12750 Center Court Dr.
South #750
Cerritos, CA 90703

Phone numbers:
  • (562) 263-2920
Fax numbers:
  • (562) 402-2629
Emails:

Probation - North

Address:
2005 Evergreen Street
Suite 1200
Sacramento, CA 95815

Phone numbers:
  • (916) 263-2125
Fax numbers:
  • (916) 263-1692
Emails:

Probation - South

Address:
160 Via Verde
Suite 245
San Dimas, CA 91773

Phone numbers:
  • (909) 421-5814
Fax numbers:
  • (909) 599-4010
Emails:

Have Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails, confidential financial and legal details.

Login or sign up to submit questions