Address Change

Pursuant to Title 16, California Code of Regulations, section 1399.511, licensees and applicants are required to report in writing to the Board, any and all changes of their mailing address within 30 days from the date the change occurred. An alternate address, such as a post office box or place of business, can be used as your address of record; however, a street address (confidential) shall be provided to the Board if a post office box is used as the address of record. Confidential addresses are not displayed on the Board's website or disclosed to the public. 

As an applicant, the address of record is not disclosed to the public or displayed on the Board's website, until a California physician assistant license is issued. All Board related correspondence is automatically mailed to the address of record.

How to Report An Address Change

Submit the Change of Address Form to the Board by mail, fax, or email. Addresses are updated instantaneously when completed using your BreEZe account.

Physician Assistant Board's Contact Information:

 

Mailing Address: 

2005 Evergreen Street, Suite 2250
Sacramento, CA 95815-3893

Fax:

(916) 263-2671

Email:

paboard@dca.ca.gov