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

41 - 60 of 79 forms

Form Title Topics
Fictitious Name Permit Notification of Shareholder Change Applicants, Physicians And Surgeons
Fingerprint, Live Scan Applicants, Midwives
Fingerprint, Live Scan (Polysomnography applicants only Applicants, Polysomnography
Fingerprint, Live Scan (Research/Student Research Psychoanalyst applicants only Applicants, Research Student Research Psychoanalysts
Health Facility/Peer Review Reporting Form Mandatory Reporting
Health Facility Reporting Form Mandatory Reporting
International Medical School Graduate Application Applicants, Physicians And Surgeons
Licensed Midwife Disclosure Form Applicants, Midwives
License Information for International Medical School Graduates Applicants, Physicians And Surgeons
License Information for U.S. or Canadian Medical School Graduate Applicants, Physicians And Surgeons
License Verification System Subscription Service Request License Verification Service, License Verification Service
Limited Practice License Application Applicants, Physicians And Surgeons
Live Scan Information Applicants, Physicians And Surgeons
Midwife Application for Inactive License Applicants, Midwives
Midwife Application to Restore License to Full, Active Status from Inactive or Retired Status Applicants, Midwives
Midwife Reviewer Original Application Expert Reviewer
Midwife Reviewer Program - Renewal Application Expert Reviewer
Outpatient Surgery - Patient Death Reporting Form Mandatory Reporting
Patient Transfer Reporting Form Mandatory Reporting
Physician Orders for Life Sustaining Treatment (POLST) form 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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