Medical Fictitious Business Name

Allows a licensed physician and surgeon or podiatrist to practice under a name other than his or her own.

Cost

$50

Issuing Department

CA Medical Board of California

Agency Type

State

Information

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 email, to agree upon an alternative name.

 

A $50 non-refundable processing fee is required, with a renewal fee of $40 every two years. The check should be made payable to the Medical Board of California. A renewal notice automatically will be mailed to the practice address approximately 90 days before the permit expires. 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.

 

See the Medical Fictitious Name Permit from the Medical Board of California for more information.

Permit Documents

The following documents are part of this permit. Fill out the necessary forms and submit them to the issuing department to apply.