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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
  • Diabetes Prevention Program
  • Dispensing Optician
  • Doctor of Medicine
  • Doctor of Osteopathic Medicine
  • 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
  • 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)
  • Unlisted Provider Types
Last modified date: 3/23/2021 8:51 AM


Non-Discrimination Policy and Language Access

Access Health Care Language Assistance Services (SB 223)


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