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Application Information by Provider Type
Find your provider type to get specific instructions on how to apply for fee-for-service enrollment.
A-M
Acupuncturist
Audiologist
Certified Mastectomy Fitter
Chiropractor
Clinical Laboratory
Clinical Social Worker
Community-Based Organization (for CHW, AP, and JI services)
County Children and Families Commission (for CHW & AP Services)
Dental
Diabetes Prevention Program
Dispensing Optician
Doctor of Medicine
Doctor of Osteopathic Medicine
Doula
Drug Medi-Cal Providers
Durable Medical Equipment Provider
Exempt from Licensure Clinics
Facilities
Group Providers
Hearing Aid Dispenser
Independent Diagnostic Testing Facility (IDTF)
Licensed Professional Clinical Counselor
Local Health Jurisdiction (for CHW & AP services)
Marriage and Family Therapist
Medical Transportation Provider
Midwife (licensed by Medical Board of California)
N-Z
Non-Medical Transportation Provider
Nurse Anesthetist
Nurse Midwife
Nurse Practitioner
Occupational Therapist
Optometrist Package
ORP (Ordering/Referring/Prescribing) Only Enrollment
Orthotist
Pharmacy Provider
Physical Therapist
Physician Assistant
Podiatrist Package
Portable Imaging Provider
Prosthetist
Psychologist
Rendering Providers
Respiratory Care Practitioner
Speech-Language Pathologist
Surgery Center (Physician Owned)
Tribal Health Programs
Unlisted Provider Types
Last modified date: 11/25/2024 11:09 AM
