Applicants

The Board has transitioned to a new data system, California Department of Consumer Affairs (DCA) BreEZe Online Services. If you submitted an Application for Certificate to Practice Podiatric Medicine prior to May 5, 2016, the deficiency information displayed online may be inaccurate. You will be notified via mail or email if there are any missing documents or any issues with your application.

We thank you in advance for your patience while we are in transition to the new data system.

Important Information and Licensing Requirements

• Doctor of Podiatric Medicine (DPM)

  • Licensing Packet
  • Licensing Information
  • Licensing Application Checklist

  • Forms

    • P1A - Application for a Certificate to Practice Podiatric Medicine - Part A
    • P1B - Application for a Certificate to Practice Podiatric Medicine - Part B
    • P1C - Application for a Certificate to Practice Podiatric Medicine - Part C
    • P1D - Application for a Certificate to Practice Podiatric Medicine - Part D
    • P1E - Application for a Certificate to Practice Podiatric Medicine - Part E
    • P1F - Application for a Certificate to Practice Podiatric Medicine - Part F
    • P1G - Application for a Certificate to Practice Podiatric Medicine - Part G
    • P2 - Certificate of Podiatric Medical Education
    • P3 - Certificate of Endorsement by State Licensing Agency
    • P4 - Certificate of Approved Residency Training
    • Request for American Podiatric Medical Licensing Examination (APMLE) Part I, II & Part III (PMLexis) Certified Scores
    • Disciplinary Report Request (FPMB)
    • Explanation to Application Question
    • License Expiration Advisory and Request for Birth Month Licensure

  • Live Scan

    • Live Scan Request Form
    • Live Scan Information

  • Other Resources

    • Summary of Licensing Requirements & Important Information
    • Licensing & Application Fees

• Resident

  • VIDEO: "How to Apply for a Resident Doctor of Podiatric Medicine (DPM) License"
  • Licensing Packet
  • Licensing Information
  • Licensing Application Checklist

  • Forms

    • P1A - Application for a Certificate to Practice Podiatric Medicine - Part A
    • P1B - Application for a Certificate to Practice Podiatric Medicine - Part B
    • P1C - Application for a Certificate to Practice Podiatric Medicine - Part C
    • P1D - Application for a Certificate to Practice Podiatric Medicine - Part D
    • P1E - Application for a Certificate to Practice Podiatric Medicine - Part E
    • P1F - Application for a Certificate to Practice Podiatric Medicine - Part F
    • P1G - Application for a Certificate to Practice Podiatric Medicine - Part G
    • P2 - Certificate of Podiatric Medical Education
    • P4 - Certificate of Approved Residency Training
    • Request for American Podiatric Medical Licensing Examination (APMLE) Part I, II & Part III (PMLexis) Certified Scores
    • P5 - M.O.U. for Approved Residency Program Participation
    • P5 - M.O.U. for "Candidate Status" Residency Program Participation
    • Explanation to Application Question
    • License Expiration Advisory and Request for Birth Month Licensure

  • Live Scan

    • Live Scan Request Form
    • Live Scan Information

  • Other Resources

    • Summary of Licensing Requirements & Important Information
    • Licensing & Application Fees

• Fictitious Name Permit (FNP)

  The purpose of a fictitious name permit (FNP) is to allow a licensed physician and surgeon or doctor of podiatric medicine to practice under a name other than his or her own. Business and Professions Code section 2285 states: "The use of any fictitious, false, or assumed name, or any name other than his or her own by a licensee either alone, in conjunction with a partnership or group, or as the name of a professional corporation, in any public communication, advertisement, sign, or announcement of his or her practice without a fictitious-name permit obtained pursuant to Section 2415 constitutes unprofessional conduct."

  Applications for fictitious name permits are reviewed in date-received order, with an approximate processing time of four to six weeks. After review, the permit is approved or a letter of deficiency is mailed to the applicant explaining the specific problems. The Medical Board closely monitors fictitious names to ensure that similar names are not issued. If there is a name discrepancy, the FNP coordinators will work directly with the applicant, either by phone, fax, or e-mail, to agree upon an alternative name. If an application is received without payment of the $50 processing fee made out to the Medical Board of California, it will immediately be returned to the applicant.

  For further questions, call the Licensing Program at (916) 263-2382 or (800) 633-2322.

  • Name Search for Fictitious Name Permit
  • Frequently Asked Questions - Fictitious Name Permit
  • Common Reasons for Rejection of Fictitious Name Permits
  • Application for Cancellation of a Fictitious Name Permit - Fill-In
  • Fictitious Name Permit Application - Fill-In
  • Fictitious Name Permit - Change of Address Form - Fill-In
  • Fictitious Name Permit - Notification of Renewal/Hold Release - Fill-In
  • Fictitious Name Permit - Notification of Partnership Change - Fill-In
  • Fictitious Name Permit - Notification of Shareholder Change - Fill-In
  • Application for a Duplicate Fictitious Name Permit - Fill-In

• Professional License Portability and State Registration for Servicemembers and their Spouses

  The federal Servicemembers Civil Relief Act (SCRA) authorizes service members or their spouses who currently hold a valid license in good standing in another state, district, or territory to practice in California within the same profession or vocation, if they relocate to California because of military orders. For individuals who desire to practice in California under the terms of the SCRA, please visit: https://www.dca.ca.gov/military/federal.shtml.