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

61 - 79 of 79 forms

Form Title Topics
Physician Reporting - Criminal Actions Mandatory Reporting
Polysomnography Registration Application Applicants, Polysomnography
Postgraduate Training Authorization Letter (PTAL) Application Applicants, Physicians And Surgeons
Postgraduate Training Registration Form Applicants, Physicians And Surgeons
Previously Licensed California Physician Application Applicants, Physicians And Surgeons
Reporting Requirements for Coroners Mandatory Reporting
Reporting Requirements for Court Clerks Mandatory Reporting
Report of Settlement, Judgement or Arbitration Award Mandatory Reporting
Request for Certified Public Documents Consumers
Request for Copy of 805 Report License Verification Service, License Verification Service
Retired Midwife Application for Exemption from Payment of Renewal Fee - No Practice Allowed Applicants, Midwives
Retired Physician Application for Exemption from Payment of Renewal Fee - No Practice Allowed Applicants, Physicians And Surgeons
Security Agreement - Accessing the License Verification System License Verification Service, License Verification Service
Subscription Service Request - Credentialing Services License Verification Service, License Verification Service
Timeline of Activities Applicants, Physicians And Surgeons
Transfer of Planned Out-of-Hospital Delivery to Hospital Reporting Form Applicants, Midwives
Translation of International Academic Credentials Applicants, Physicians And Surgeons
U.S. or Canadian Medical School Graduate Application Applicants, Physicians And Surgeons
Voluntary Service Physician Application for Waiver from Payment of Initial License or Renewal Fee 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:

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