Medical Board of California Annual Report 2024-2025

WWW.MBC.CA.GOV 2 0 24/ 2 5 AN N U AL MEDICAL BOARD OF CALIFORNIA RE P OR T

Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 2 M e d i ca l Bo a r d of C a li f o r n ia A nn u a l Re po r t | 2 023 - 2024 2 ME DICAL BOARD O F C AL IF O R N IA Protecting consumers by a dva nci ng hi gh quality, safe med ical care. Exec utive O ffice 2005 Everg reen Street, Suite 1200 Sacramento, CA 95 815 - 5401 Phone: (916) 263 - 2382 Fax: (916) 263 - 2944 www.mb c.ca.gov Gavi n N ews om, Governor, State of Californ ia | Bu siness, Consu mer Services and Housing Ag enc y | Department of Consumer Affairs TO: Membe rs of the California S tate Legislature Office of the Secretary of the Senate Offic e of the Chief Cler k of the Assembly Office of the Legislative Counsel FROM: Reji Varghese, Executive Dir ector DATE: October 1, 202 5 RE: Fiscal Year 202 4- 202 5 Annual Report of the Medical Board of Calif ornia Pursuant to Business and Professions Code secti on 2313 and Government Code sect ion 9795, I am pleased to sub mit the Fiscal Year 202 4- 202 5 Annual Report of the Medical Board of California (Board). This report contains a summary of the Board’s key activities between July 1, 202 4, and June 30, 202 5, including various statistics related to its budget and t he enforcement and licensing programs. This report discusses va rious actions taken related, b ut not limited t o, the followin g: • P rogress toward establishing a p hysician h ealth and w ellness p rog ram (AB 408, Berman). • Update on the Board’s budget, including the repa y ment of loans p r ovided by other Department of Consumer Affairs funds. • Progress towards paperless licens e application processes. • Establishing the new Complainant Liaison Un it. • Online training availabl e to Expert Reviewers and M edical Consultants. • Changes to impairment questions on initial license applications. • Changes to Bo ard leadership. The Board’s annual reports are available for view ing and download online at https://www.mbc.ca.gov/Resources/Publications/Annual - reports. asp x. To request a hard copy of the report, please call the Board’s execu t ive o ffice at (916) 263 - 2389.

ALLI E D H EAL TH CARE PR O FE S S IONAL S 21 EN FO R C EMEN T S U MMA R Y 13 LICEN SING SUM M A R Y 8 BUDGE T SU MM AR Y 6 EXECUTIVE S UM M AR Y 5 BO AR D ROS T E R 4 Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 3 CONTENTS

Reji V arghese Executive Director Gavin Newsom Gover nor Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 4 Accountability, Consumer Protection, Empathy, Fairness, Integrity, and Trust V ALUES The mission of the Medical Board of California is to protect healthcare consumers and prevent har m through the proper licensing and regulation of physicians and surgeons and certain allied healthcare professionals and through the vigorous, objective enforcement of the Medical Practice Act, and to promote access to quality medical care through the Board's licensing, policy, and regulatory functions. MISSION T o be the premier consumer protection agency by leading and partnering in the effort to prevent har m and advance high quality, safe medical care. VISION Kristina D. Lawson, J.D. President Felix C. Yip, M.D. Vice President V eling T sai, M.D. Secretary Jacob Arkatov, J.D. Irving A yala-Rodriguez, M.D. Anni Chung Asif Mahmood, M.D. Jodi Remke, J.D. T rinidad Solis, M.D. Richard E. Thorp, M.D. Gerald T olbert, M.D. Marina T orres, J.D. Eserick “TJ” W atkins The Med ic a l Board of C a lifor nia (Board) is comp r ised of fif t een mem ber s: ei ght ph ysi cian memb ers a nd fiv e pub lic mem ber s appointe d b y th e Go v e rno r, on e publ ic membe r appoi n t ed by the Speak e r of the Assem bly, and on e publ ic membe r appoi n ted b y the Senate Rules Comm itt ee. The Boa r d ha s t w o s t and ing comm itt ees, t wo disci pli nar y panels, a nd the Mid wifer y Advisor y C o uncil that as sist w ith the w o rk of the Boa r d. BOARD ROSTER

Updated License Application Impairment Questions In July 2024, the Board held an interested parties meeting on the mental and physical health questions on the Board’s initial license applications. During that meeting, a task force of Board members and attendees heard from officials from the Federation of State Medical Boards, the North Carolina Medical Board, and the State Medical Board of Ohio. At this meeting, attendees were able to provide feedback on the Board’s current application questions and suggestions for alter native approaches for the Boar d’s consideration. Then, at their August 2024 meeting, the Board approved an updated introductory statement and revised health questions for its initial license applications. Those changes took effect January 2025. Board Contributions to Department Diversity, Equity, Inclusion,and Accessibility Efforts In October 2024, Reji V arghese, Board Executive Director, was elected as the Chair of the Diversity, Equity, Inclusion, and Accessibility Committee of the Department of Consumer Affairs. Update on the Licensed Physicians fr om Mexico Pilot Program (LPMPP) The 3 rd Annual Progress Report on the LPMPP was released August 2024 and discussed at the Board’s November 2024 meeting. ¹ Includes Postgraduate Training Licenses 9, 7 0 7 C omplaints R eceiv ed 9, 5 8 7 L ice ns es Is sued  73,605 L ice ns es Re ne we d  9, 5 2 0 Applica tions R eceiv ed  P HY SICIANS' AND SURGEONS' YEAR IN REV IEW Changes to Board Leadership Sharlene Smith was appointed Chief of Enforcement and Kenneth W atson was appointed Deputy Chief of Enforcement. Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 5 Pr ogress T oward Establishing a Physician Health and W ellness Program In October 2024, the Board held an interested parties meeting to hear feedback from stakeholders regarding the Board’s proposed legislation to establish a physician health and wellness program to prevent patient harm by treating physicians and other Board licensees and future licensees for health conditions that may impair their ability to practice safely. Following this meeting, the Board approved a legislative proposal at their November 2024 meeting. The proposal is contained within Assembly Bill 408 (Ber man, 2025). EXECUTIVE SUMMAR Y

Qui c k, Optimized Ac cess t o W ebsite C o n ten t Fol low up t o 1 6 Doct o rs ’ Li c enses Imm ediat e Li c ense Profil e A cc ess to the Doct or s Be i ng Fo l lowe d Free, Aut omat ed L ic ense A ler t Notifications When Pro f ile i s Updat ed fo r i O S! Medic al Boa r d o f Ca l i fo r n ia App D O W N LO A D THE Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 6 Physicians’ renewal fees are the primary source of revenue for the Board, as illustrated on the revenues and reimbursements chart on page 7. The budget distribution chart reflects the expenditures in each of the Board’s programs. Fiscal Y ear (FY) 2024-25 marked the third complete year during which the Board possessed the authority to order cost recovery for case investigation and prosecution, following the reinstatement of that authority on January 1, 2022. The Board is also reimbursed for probation monitoring costs. Based on FY 2024-25 expenditures, the Enforcement Program accounts for approximately 77 percent of the Board’s overall expenditures; including legal services and probation monitoring costs. The Licensing Program accounts for approximately 11 percent of the Board’s overall expenditures, while Executive and Administrative Services account for seven percent, and the Infor mation Systems Branch the remaining five percent. The Board received an $8 million dollar loan in FY 2022-23 with a repayment obligation in FY 2024-25 and a $6 million dollar loan at the conclusion of FY 2023-24 with a repayment obligation in FY 2025- 26. Both loans came from other DCA funds. The Board repaid all outstanding loan obligations in FY 2024-25, eliminating the FY 2025-26 interest expense. The Board’s improved financial position is due to increases in revenues, unscheduled reimbursements, and lower-than- anticipated expenditures. The Board complied with the vacancy elimination and expenditures reduction initiatives highlighted in the 2024 Budget Act. As a result, both the Board’s budget and positions will be reduced in FY 2025-26. The Board works diligently to appropriately control its expenditures, monitor fees, and build financial reserves to support its operations, consumers, and licensees. BUDGET SUMMAR Y

 Period 12 is not yet closed. Data as of August 25, 2025.  Physicians and Surgeons.  Regulatory Fees, Delinquency/Penalty/Reinstatement Fees, Interest on Fund, and Miscellaneous.  Excludes Attorney General Services, Office of Administrative Hearings, and Court Reporter Services.  Includes Attorney General Services, Office of Administrative Hearings, and Court Reporter Services. Revenues and R eimbursements 1 Dollars Percent Renewals 2 76,782,000 79 Application and Initial License Fees 2 8,376,000 8 Reimbursements 7,660,000 8 Other 4,687,000 5 T otal 97,505,000 100 Re v e nues and Reim bursem ents 1 $76,782,000 Re newal s 2 $8,376,000 A ppl ication A nd I nitial Li cense Fees 2 Budget Distribution Dollars Percent Enforcement Operations 4 36,210,000 47 Legal & Hearing Services 5 20,086,000 26 Licensing 4 8,720,000 11 Information Systems 3,699,000 5 Executive 3,422,000 4 Probation Monitoring 4 3,236,000 4 Administrative Services 2,231,000 3 T otal 77,604,000 100 Budget D ist ribu ti on  $20,086,000 Legal and Heari ng Services 5 $ 36,210,000 Enforcement Operations 4 Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 7 The nu mber s shown in the a ssociat ed cha r ts and tables bel o w are prel imi nar y and do not re fl ect all re v en ues and expenses for FY 2 024 -25. For the most recen t data s ee the E xecu t iv e Manag ement R epo r t included i n the Boa r d's q uar ter ly boa r d m ee ti ng documents. Budget Cha r t s and T ab les

13,574 38,770 36,024 30,061 22,685 11,850 2,339 34 and und er 35-44 45-54 55-64 65-74 75-84 85 and over Ph ysicia n 's a nd Surgeon' s A g es Pr ogress T ransitioning to Paperless Licensing Pr ocesses Enhancements to the Direct Online Certification Submission portal were deployed in January 2025 to allow postgraduate training program users to upload For m ILR, Initial License Renewal V erification of ACGME/RCPSC/CFPC/ CODA Postgraduate T raining.In March 2025, the Board stopped providing paper license renewal applications for all P&S licenses that expire on or after June 30, 2025. Renewal applications must be submitted online. New Postgraduate T raining Program R esource The Board launched a webpage that supports postgraduate training programs throughout the licensing application process. This resource provides pr ograms with clear guidance, including key deadlines, required supporting documents, and practical tools to help ensure the accurate and timely submission of for ms. Total Femal e, 62,837, 40% Total Mal e, 92,300, 59% Unreported,166, 1% Ph ysicia n 's a nd Surgeon' s Se xes Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 8 The Board’s Licensing Program protects consumers by setting requir ements for licensure consistent with statutory and regulatory law, including education, experience, and demonstrated competence, and issues licenses to individuals meeting those requirements. The Licensing Program also provides license verification services, issues fictitious name permits, and approves accreditation agencies for the accreditation of outpatient surgery settings. In FY 2024-25, the Program issued 6,640 Physician’s and Surgeon’s (P&S) Licenses and 2,947 Postgraduate T raining Licenses. LICENSING SUMMAR Y

The initial application and renewal fee includes a mandatory $25 fee for the Steven M. Thompson Physician Corps Loan Repayment Program — a statewide scholarship and loan repayment program for a wide range of health-professions, students, and recent graduates. Visit the Califor nia Department of Healthcare Access and Infor mation website for details. DID YO U KNO W? V olunteer Physician R egistry Update In December 2024, a new V olunteer Physician Registry (VPR) web application was launched, and all existing volunteer profiles were migrated from the prior system.VPR is intended to be used by clinics or other entities seeking volunteer physicians.Physicians in the registry have provided infor mation about areas where they would be willing to volunteer and have provided details regarding their area of practice and foreign language proficiency. 145,318 146,509 148,769 153,462 155,303 FY 20-21 FY 21-22 FY 22-23 FY 23-24 FY 24-25 A ct iv e P h ysician 's and Surgeon's Lic en ses New Initial R enewal Pathway Implemented Effective January 2025, licensees can renew their P&S License for the first time by providing the Board evidence that they are currently enrolled in a California Board-approved postgraduate training program at the time their license expires. This applies to licensees who are currently enrolled in a Board-approved postgraduate training program but have not yet met the 36-month postgraduate training requirement. They are required to provide proof of completion of 36 months of postgraduate training by their second renewal. R esearch Psychoanalyst Pr ogram T ransferred to Board of Psychology Effective January 2025, the Board transferred the Research Psychoanalyst Program to the Board of Psychology, as required by SB 815 (Roth, Chapter 294, Statutes of 2023). Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 9

Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 10 Imperial San Diego Riverside San Bernardino Orange Los Angeles V entura Santa Barbara Kern San Luis Obispo Inyo T ulare Kings Fresno Mariposa San Benito Monterey Mono T uolumne Stanislaus Madera Merced Santa Clara Santa Cruz Calaveras Amador San Joaquin San Mateo San Francisco El Dorado Alpine Contra Costa Solano Placer Nevada Sierra Y uba Sutter Y olo Plumas Sacra- mento Butte Glenn T ehama Marin Sonoma Napa Lake Mendocino Lassen Alameda Colusa Shasta Trinity Humboldt Modoc Siskiyou Del Norte Legend 0-50 51-100 101-250 251-500 501-1,000 1,001-5,000 5,001-10,000 10,001-15,000 15,001+ PHYSICIANS AND SURGEONS B Y COUNTY

Da ta is fo r phys ic ia ns w ith a re newed a nd cu r rent l i cens e excl ud in g tho se i n an i nac tive, reti red, or d is ab led l ice ns e statu s. T he b reakd own of t he exc lu ded l ice ns e stat uses i s: Ca li for n ia - 3, 428: O ut- of -State - 4, 5 8 0; To tal - 8,0 0 8. County Alameda 5,752 Alpine 2 Amador 60 Butte 424 Calaveras 48 Colusa 11 Contra Costa 3,791 Del Norte 30 El Dorado 356 Fresno 2,438 Glenn 9 Humboldt 280 Imperial 131 Inyo 47 Ker n 1,212 Kings 119 Lake 70 Lassen 17 Los Angeles 33,672 Madera 261 Marin 1,567 Mariposa 12 Mendocino 153 Merced 217 Modoc 10 Mono 50 Monterey 1,019 Napa 478 Nevada 284 Orange 11,695 Placer 1,608 Plumas 26 County Riverside 4,121 Sacramento 6,167 San Benito 47 San Bernardino 4,799 San Diego 12,837 San Francisco 8,038 San Joaquin 1,339 San Luis Obispo 844 San Mateo 3,380 Santa Barbara 1,301 Santa Clara 9,895 Santa Cruz 735 Shasta 381 Sierra 0 Siskiyou 65 Solano 1,024 Sonoma 1,522 Stanislaus 1,046 Sutter 164 Tehama 52 Trinity 6 Tulare 603 Tuolumne 104 Ventura 2,045 Yolo 501 Yuba 60 Total In State Address 126,925 Total Out-of-State Address 28,378 Total 155,303 Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 11 PHYSICIANS AND SURGEONS B Y COUNTY

 FLEX: Federation Licensing Exam. USMLE: United States Medical Licensing Exam. NBME: National Board Medical Examiners.  Includes physicians with disabled, retired, military, or voluntary services license status.  Excludes physicians with inactive, retired, or disabled license status.  T otal physician licenses in effect including inactive, retired, or disabled license status -153,624.  T otal physician licenses in effect including inactive, r etired, or disabled license status -163,311. cell left blank FY 23-24 FY 24-25 Physician Applications Received Physician Applications Received 7,453 6,487 Physician Licenses Issued FLEX/USMLE 1 7,835 4,828 NBME 1 233 196 Reciprocity with Other States (BPC §2135) 1,738 1,616 T otal 9,806 6,640 Physician Licenses Renewed Renewal Licenses Issued - Fee 66,245 67,769 Renewal Licenses Issued - Fee Exempt 2 6,440 5,836 T otal 72,685 73,605 Physician Licenses In Effect 3 In-State Address 125,619 126,925 Out-of-State Address 27,843 28,378 T otal 153,462  155,303  Physician License Administrative A ctivity Licenses Issued with Public Letters of R eprim and 13 14 Probationary Licenses Issued 10 11 Licenses Denied (No Hearing Requested) 3 0 Statements of Issues to Deny License Filed 5 4 Statements of Issues Granted (License Denied) 1 0 Statements of Issues Denied (License Granted) 1 1 Statements of Issues Withdrawn 2 3 Postgraduate T raining Licenses (PTL) PTL Applications Received 3,026 3,033 Issued 3,167 2,947 In Effect 5,513 4,905 Lic enses 1 Excludes the 11,145 listed under Consumer Inquiries on page 14. 2 Excludes the 11,500 listed under Consumer Inquiries on page 14. 3 Statistics from the Board’s BreEZe Online License Verification webpage. 4 Includes 593 MD's, 1 Polysomnographic Technologist, 1 Polysomnographic Trainee, and 6 Licensed Midwifes. 5 Includes 518 MD's, 3 Postgraduate Training Licenses, 1 Polysomnographic Technologist, 2 Polysomnographic Trainees, 1 Polysomnographic Technician, and 2 Licensed Midwives. cell left blank FY 23-24 FY 24-25 License Status V erifications T elephone V erifications 1,095 2,758 Non-V erification T elephone Calls 42,542 36,087 2 Authorized License V erification System (L VS) Internet Users 834 828 W eb License Look-Up 3 3,520,030 2,805,682 Certification Letters and Letters of Good Standing V erifications 9,773 8,573 Reporting A ctivities Disciplinary Reports Mailed to Health Facilities Upon Written Request Pursuant to BPC §805.5 1,540 1,809 Adverse Actions Reported to the National Practitioner Data Bank (NPDB) 601  527 5 BPC §805 / §805.01 Reports of Health Facility Discipline Received 92/1 127/16 V erific atio n a nd Re portin g 1 Includes 23 Fictitious Name Permits issued on behalf of the Board of Podiatric Medicine. 2 Includes 31 Fictitious Name Permits issued on behalf of the Board of Podiatric Medicine. cell left blank FY 23-24 FY 24-25 Fictitious Name Permits Issued 1,736 1 2,059  Renewed 5,280 5,352 In Effect 13,319 13,935 Special Faculty Permits Issued 2 1 Renewed 10 11 In Effect 26 24 Special Programs Application Received 60 60 Licenses Issued 57 57 Licenses Renewed 66 66 In Effect 138 137 P e rmi t s and Special Prog r a ms Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 12

Complainant Liaison Unit Established As required by BPC section 2220.1, the Board established the Complainant Liaison Unit (CLU), which commenced operations in January 2025. The CLU offers complainants, patients, or patient representatives the opportunity to be interviewed in quality- of-care cases. This process helps ensure that the Board obtains any additional infor mation or evidence not previously submitted. From the onset of its operations through the end of the fiscal year, CLU offered 765 interviews and conducted 459. Citation and Fine R egulations Appr oved The Boa r d’ s proposed ru lema kin g t o update the Boa r d’ s cite and fine p r ovisio ns w a s app r ov ed b y th e Office o f Admi nist r ative Law and t ook effec t on October 1, 20 2 4. Thi s r ulema ki ng clar ifi ed the Board ’ s a u tho rit y t o i ssue cit atio ns f o r v a ri ous viol a tion s o f th e law a nd how maxi mum fi ne amou n t s are de termin ed. Online T raining A vailable for Expert R eviewers and Medical Consultants In December 2024, the Board launched an online, self-paced training for the Expert Reviewer and Medical Consultant programs. This new training for mat allows participants to complete the modules from any location and at their own pace, significantly enhancing accessibility. This enhancement is expected to boost recruitment and retention for both programs. THE BO ARD NEEDS Y OUR EXPER TISE THE BO ARD NEEDS Y OUR EXPER TISE A ctively practicing physician s from all specia lties and li c en sed midw iv es a r e welcome t o a pply an d par tici pat e in the E xpe r t R evie wer prog r am. Physicians must be board certified, have no current complaints, no prior discipline, and must be willing and available to testify in court. Further they must live in and practice full-time in Califor nia. The Board prefers they have a minimum of three years’ experience practicing in their specialty after obtaining board certification. Licensed mid wiv es m ust hav e a n ac t iv e mid wifer y p r a c t ic e for the pa st t w o y ear s, hav e no cur rent c om pla ints, no pr io r disci pli ne, an d must be w il ling a nd av a ilab le to t estif y in cou r t. For infor mation and how to apply, please visit our Expert Reviewer webpage. Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 - 2 025 13 The Boa r d’ s Enforc ement Program is responsi ble for re viewin g thousands of compla ints the Boa r d rec ei v es each FY a nd manag ing them th rough the inv estig a t o r y a nd disci pli nar y processes. Dur in g FY 2 024 - 25, the Boa r d receiv ed 9,70 7 compl aints, compared t o 9,7 1 5 compla ints rec eived in FY 2 023 -24. ENFORCEMENT SUMMAR Y

The fee is on l ic en sees tha t a re autho ri z ed to prescri be, o r de r, adm ini st e r, or f ur nish Schedu le II, Schedu le I II, Schedul e IV, or Schedule V controll ed subst a nc es. C URE S ANNU AL FE E RECE NT L Y INCREASE D FR OM $ 9 T O $ 1 5 cell left blank FY 23-24 FY 24-25 Complaints Complaints Received 9,715 9,707 Complaints Closed by Complaint Unit 8,950 8,789 Closed 1 7,813 7,584 Referred to Cite and Fine 131 193 Referred to Investigations 1,006 1,012 Investigations Opened 1,023 1,013 CIO 287 278 HQIU 736 735 Closed 1,024 1,156 CIO 282 262 HQIU 742 894 Investigation Referrals Referred to the AG 406 445 MBC 107 143 HQIU 299 302 Cases Referred for Criminal Action 19 27 Probation Violation Reports Referred to the AG 30 29 Consumer Inquiries Consumer T elephone Inquiries 11,145 11,500 Consumer Jurisdictional Inquiries 6,130 6,325  FY 23-24 - 2,484 complaints closed were received in a prior fiscal year. FY 24-25 - 2,755 complaints closed were received in a prior fiscal year.  Represented as total closures in the "Complaints Closed by Complaint Unit" pie chart. Ph ysicia n 's a nd Surgeon' s En forc emen t S um mar y 10,103 9,943 9,521 9,715 9,707 FY 20-21 FY 21-22 FY 22-23 FY 23-24 FY 24-25 Ph ysicia ns and Su r g eons Compl ai nt s R eceived No Response From Complainant: 1,439, 19% No Violatio n: 1,489, 20% Insu ff i cient Evidence: 1,601, 21% Othe r Clo sures: 419, 5% Unactionable Complaints 1: 2,636, 35% C omplaints Cl osed Closed by Com p l a i n by Com p l a i n t Un it 1 In cl ud es th e fol low in g: No Jurisdiction: 1,586 Redundan t Incident: 6 44 Inadequat e Evidenc e: 4 06 Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 -2 02 5 14

Physician and Midwife Consultants Needed These consultants review complaints to determine whether a formal investigation is needed. Participating physicians and licensed midwives are reimbursed $75 per hour for record review and report preparation. Training is online and self-paced. Contact the Medical Consultant Program for more information. Application and eligibility information is available on our website. Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 -2 02 5 15 cell left blank Public Business and Professions Code 1 Licensee/ Professional Group 2 Government Agency 3 Miscellaneous/ Anonymous T otal Type Complaints Received Fraud 108 0 6 20 27 161 Health and Safety 4 97 0 9 46 59 211 Non-Jurisdictional 5 1,057 8 13 19 230 1,327 Gross Negligence/Incompetence 6 3,485 543 28 261 271 4,588 Personal Conduct 7 38 51 10 177 38 314 Unprofessional Conduct 8 1,323 125 41 822 339 2,650 Unlicensed/Unregistered 157 0 2 106 191 456 T otal Source Complaints R eceived 6,265 727 109 1,451 1,155 9,707 1 Includes complaints received pursuant to BPC §§800 and 2240(a), and includes complaints initiated based upon reports submitted to the Board by hospitals, insurance companies and others, as required by law, regarding instances of health facility discipline, malpractice judgments/settlements, or other reportable activities. 2 Includes the following complaint sources: other Licensee, Professional Society or Association. 3 Includes the following complaint sources: Internal, Law Enforcement Agency, other California State Agency, other State Agency, other boards within the Department of Consumer Affairs, and Federal or other Government Agency. 4 Includes excessive prescribing, sale of dangerous drugs, etc. 5 Includes complaints not under the authority of the Board and are referred to other agencies such as the Department of Health Care Services, Department of Managed Health Care, etc. 6 Includes complaints related to the quality of care provided by licensees. 7 Includes licensee self-abuse of drugs/alcohol, conviction of a crime, etc. 8 Includes sexual misconduct with patients, failure to release medical records, violation of BPC §805 reporting, etc. Compl ai nt s R eceived b y Compl ai nt T ype a nd Sourc e

 Some orders granted were sought in prior FY. Sought Granted 1 Sought and Granted by Case Type FY 24-25 Gr oss Negligence/Incompetence 8 8 Inappropriate Prescribing 6 3 Unlicensed Activity 0 0 Sexual Misconduct 4 3 Mental/Physical Illness 18 15 Self-Abuse of Drugs/Alcohol 11 13 Fraud 4 3 Criminal Charges/Conviction 11 6 Unprofessional Conduct 3 5 T otal 65 56 The Guidelines for Prescribing Controlled Substances for Pain were updated in 2023. DID Y OU KNOW? cell left blank FY 23-24 FY 24-25 Administrative A ctions Accusation 249 239 Petition to Revoke Probation/Accusation and Petition to Revoke 27 24 Amended Accusation/Petition to Revoke 49 43 Completed Investigations Referred to the AG and A waiting the Filing of Accusation as of June 30, 2025 81 141 Cases Over 6 Months Old that Resulted in the Filing of Accusation 251 236 Administrative Outcomes License Revoked 15 24 License Surrendered (in Lieu of Accusation or with Accusation Pending) 66 60 License Placed on Probation with Suspension 2 5 License Placed on Probation 130 111 Probationary License Issued 10 11 Public Reprimand 97 97 Other Actions (e.g., Exam Required, Educational Course, etc.) 1 1 Accusation Withdrawn 14 6 Accusation Dismissed 7 10 Probation Violation Outcomes License Revoked 8 14 License Surrendered 36 28 Additional Suspension and Probation 0 1 Additional Probation 7 11 Public Reprimand 0 1 Other Actions (e.g., Exam Required, Educational Course, etc.) 2 0 Petition Withdrawn 3 0 Petition Dismissed 0 0 Referral and Compliance A ctions Citation and Administrative Fines Issued 135 180 A dm inist r a tiv e A ct ions cell left blank FY 23-24 FY 24-25 Imposed while Administrative Action Pending Interim Suspension Order (ISO) 13 30 1 T emporary Restraining Order (TRO) 0 0 Other Suspension Orders 31 26 2 License R estrictions/Suspensions and T emporary Restraining Or ders  Penalty Relief includes: Petitions for Modification of Penalty and Petitions for T er mination of Probation. P etit ion A ct ivit y cell left blank FY 23-24 FY 24-25 Petitions for Reinstatement of License Filed 13 11 Granted 2 4 Denied 7 1 Petitions for Penalty Relief 1 Granted 19 10 Denied 1 10 Petitions to Compel Exam Filed 35 40 Granted 39 36 Denied 0 0  Pursuant to BPC §2220.05(c), ISOs and TROs were granted in the following priority categories: 0 - gross negligence/incompetence resulting in death or serious bodily injury; 0 - drug or alcohol abuse involving death or serious bodily injury; 1 - excessive prescribing; 0 - excessive recommending of medical cannabis; 1 - sexual misconduct with a patient; 1 - practicing under the influence of drugs/alcohol; and 0 - excessive prescribing to a minor.  Includes 6 - Automatic Suspension Orders per BPC §2236; 1 - license restrictions per Penal Code §23; 2 - license restrictions pursuant to court order; 5 - out-of-state suspension orders per BPC §2310; 0 - stipulated agreements to suspend or restrict the practice of medicine; and 12 - cease practice orders issued for violation of probation condition or violation of interim suspension order. Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 -2 02 5 16

1 The procedure was per formed in the practice specialty/sub- specialty; however, the physician may or may not have been certified in the specialty/sub-specialty area. 2 California physicians certified in specialty according to the 2023- 2024 American Board of Medical Specialties Certification Statistics Report. cell left blank Reports 1 Physicians 2 Specialty/Sub-Specialty Anesthesiology 15 8,308 Cardiology 9 4,385 Colon and Rectal 2 272 Dermatology 6 2,517 Diagnostic Radiology 7 4,744 Emergency Medicine 26 6,378 Endocrinology 1 1,198 Gastroenterology 7 2,100 General/Family Practice 43 12,743 Geriatric Medicine 1 792 Gynecologic Oncology 4 165 Gynecology 12 6,829 Hematology 2 1,542 Ho sp ice a nd Pal li ati ve Care 1 902 Infectious Di sease 4 1,201 Internal Medicine 23 26,569 Interventional Cardiology 1 598 Interventional Radiology 2 441 Medical Oncology 5 1,732 Neonatal/Perinatal 1 924 Nephrology 1 1,494 Neurological Surgery 14 761 Neurology 10 3,187 Obstetrics 45 6,829 Ophthalmology 10 3,213 Orthopedic Surgery 28 3,788 Otolaryngology 6 2,006 Pain Medicine 5 928 Pathology 7 5,054 Pediatrics 7 13,581 Physical Medicine & Rehabilitation 3 1,607 Plastic Surgery 15 1,398 Psychiatry 3 10,760 Pulmonary Disease 3 1,991 Radiation Oncology 1 676 Radiology 34 1,534 Rheumatology 1 847 Surgery 40 5,025 Thoracic Surgery 3 666 Urology 13 1,423 V ascular Surgery 4 420 Ma lp r ac tice Set tl ement Repo r ts Receiv ed pe r BP C §8 0 1.01 b y Spe c ia lt y Pract ic e 1 Per BPC §801.01. 2 Per BPC §803. 3 Per BPC §802.5. 4 Per BPC §§802.1 and 803.5. 5 Per BPC §805. 6 Per BPC §805.01. 7 Per BPC §805.8. 8 Per BPC §2240(a). cell left blank FY 23-24 FY 24-25 Medical Malpractice Insurers 1 322 276 Attorneys/Self-Reported/Employers 1 196 170 Courts 2 0 0 T otal 518 446 Other Requir ed Reporting Coroners’ Reports 3 1 2 Criminal Charges and Convictions 4 37 45 Health Facility Discipline Reports Medical Cause or Reason 5 91 127 Health Facility Reports 6 1 16 Health Facility Report Sexual Abuse/ Misconduct Allegation 7 56 62 Outpatient Surgery Settings Reports Patient Death 8 7 12 T otal 193 264 Stem Cell Therapy Complaints and Action T aken Complaints Received 3 1 Disciplinary Actions T aken 3 0 Administrative Actions T aken 0 0 Repor t s Rec ei v ed Based U pon Legal Requi rement s for Ph ysicia ns and Su r g eons cell left blank 805 805.01 T otal Reports R eceived T otal Reports Received 127 16 Peer Review Body T ype Health Care Facility/Clinic 96 14 Surgical Center 0 1 Health Care Services Plan 13 0 Professional Society 2 0 Medical Group/Employer 16 1 Outcomes of Reports R eceived Pending Disposition 85 4 Accusations Filed 1 0 Cases Closed 41 12 Repor t s Rec ei v ed pe r BPC §§80 5 and 8 05.01 and Repo r t Outcomes Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 -2 02 5 17

Ave ra g e E n f o rce m e n t Pr oc e ssing Time Fr ame s 6 123 275 582 120 439 155 330 542 94 400 FY 23-24 FY 24-25 Ot he r Leg al Pro cess 8 AG Fi li ng Pro cess 7 Inv estigations Pro cess (Sw or n) Inv estigations Pro cess (N o n- Sw o rn) Complain t Pro cess This cell left blank Statewide Per Investigator/ Inspector Health Quality Investigation Unit (Department of Consumer Affairs) 1 Active Investigations 917 10 2 AG Cases Assigned 3 295 3 Probation Unit 4 Monitoring Cases 5 511 32 E n f o rcem e n t P ro g ra m C as e l oa d 52 240 556 94 392 67 282 524 80 320 FY 23-24 FY 24-25 Other Leg al Pro cess 8 AG Fi li ng Pro cess 7 Inv estigations Pro cess (Sw or n) Inv estigations Pro cess (N o n- Sw o rn) Complain t Pro cess Med ian E nfo r c em ent Pr oc e ssing Time Fr ame s 6  Cas es a re at var io us s tage s of AG pro cess in g an d ma y req ui re su pp lem enta l inves ti gat ive wo rk, su ch as subpoena services, in ter viewing new v ict im s o r wit nes ses, tes tif y in g at he ar i ng s, etc.  I ncl ud es phy si cia ns a nd su rge on s, l icen sed m id w ives, an d po ly som no gra ph ic program p r obationers.  5 1 addition al monit o ring cas es we re in act ive be caus e th e pro bat io ne r was o ut of state a s of J une 3 0, 2 0 25.  Averag e an d me di an ti me (cal end a r day s) in p roces si ng co mplain ts during t he fisc al yea r, fo r a ll ca ses, f rom date o f or ig i na l recei pt of th e com pl ai nt, for ea ch sta ge of d is ci pl in e, th roug h com pl eti on of j ud ici al rev iew.  Da ys f rom ca se tra ns mi tta l t o in iti al pl eading file d.  Da ys f rom f il i ng to f in al case dis posi tion. I ncl ud es phy si cia ns a nd su rge on s, l icen sed m id w ives, an d po ly som no gra ph ic p rog ram. A vera ge i s dete rm i ned by us in g the tota l nu mb er of a utho r i zed po sit io ns, including vac ant posi tions. Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 -2 02 5 18 1 Pursuant to BPC §2220.05(c), disciplinary actions were taken in the following priority categories: 12 - gross negligence/incompetence resulting in death or serious bodily injury; 0 - practicing under the influence resulting in death or serious bodily injury; 32 - excessive prescribing; 0 - excessive recommending of medical cannabis; 9 - sexual misconduct with a patient; 6 - practicing under the influence of drugs/alcohol; and 0 - excessive prescribing to a minor. This cell left blank Revocation Surrender Probation with Suspension Probation Probationary License Issued Public Reprimand Other T otal Actions Gross Negligence/Incompetence 10 34 2 56 - 34 - 136 Inappropriate Prescribing - 15 - 19 - 6 1 41 Unlicensed Activity 1 - - - - 3 - 4 Sexual Misconduct 1 9 1 5 - 5 - 21 Mental/Physical Illness 6 6 - 5 - 2 - 19 Self-Abuse of Drugs/Alcohol 2 10 1 21 - 7 - 41 Fraud 4 3 1 3 - - - 11 Conviction of a Crime 2 3 1 4 - 2 - 12 Unprofessional Conduct 12 8 - 9 11 39 - 79 T otal Administrative A ctions T otal Administrative A ctions 38 38 88 88 6 6 122 122 11 11 98 98 1 1 364 364 Admi nis t r a t iv e a nd Pr ob at ion Vi ol at ion Ou tc omes by Case T ype 1

Subscr ibe for emai l ale r ts, and f ol low the Boa r d 's ac counts on Facebook, Link edIn, X, and Y ou T ube. ST A Y INFORMED ON BO ARD NEWS AND UPD A TES This cell left blank FY 23-24 FY 24-25 Probationers Probationers Whose Conduct was Related to a Substance-Abuse Problem 141 131 Substances Involved 1 Alcohol 100 94 Ambien 1 1 Amphetamine 2 2 Benzodiazepine 1 1 Cannabis 4 4 Cocaine 2 1 Demerol 1 1 Fentanyl 1 2 Fiorcet 1 1 Hydrocodone 0 1 Methamphetamines 4 3 Opiates 1 1 Propofol 2 1 Psilocybin 0 1 Multiple Controlled Substances 49 40 Probation Completion Probation Successfully Completed 2 16 19 Failed to Complete Probation 9 5 Substances Involved 1 Y N Y N Alcohol 10 7 16 4 Ambien 0 0 1 0 Cannabis 0 1 0 0 Cocaine 0 1 0 0 Demerol 0 0 1 0 Psilocybin 1 0 0 0 Methamphetamines 3 0 0 1 Multiple Controlled Substances 5 3 2 1 Relapses FY 23-24 FY 24-25 Probationers who Relapsed 3 5 Substances Involved 1 Alcohol 2 2 Amphetamine 1 0 Methamphetamines 0 1 Phenobarbital 0 1 Tramadol 0 1 This cell left blank FY 23-24 FY 24-25 Cease Practice Orders Probationers Issued a Cease Practice Order 5 6 Substances Involved/Reason for Or der 1 Alcohol 2 1 Amphetamine 1 0 Fentanyl 0 1 Methamphetamines 0 1 Phenobarbital 0 1 Tramadol 0 1 Failed to Appear for a Biological Fluid T est (BF T) 1 1 Failed to Cooperate with BFT 1 0 Failed to Successfully Complete a Clinical Competence Assessment Program 1 0 Suspensions Probationers Issued a Suspension 0 0 Substance Involved N/A N/A N/A Petitions to Revoke Petitions to Revoke 4 6 Substances Involved/Reason for A ction 1 Alcohol 2 0 Methamphetamines 0 1 Tramadol 0 1 Failed to Appear for a BFT 1 0 Multiple Probation Violations 1 3 Non-Practice Over 2 Y ears 1 1 Failed to Obey Rules Governing the Practice of Medicine 0 1 Some probationers had more than one substance involved.  Those who successfully completed probation or a petition for termination of probation was granted. Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 -2 02 5 19 Substance-Abusing Licensees

1 Per 1 6 CC R § 136 1. 52(a) (1 - 8). 2 The categorized substance is the substance the individual used, consumed, ingested, or administered to themselves, not the substance involved in the original discipline. Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 -2 02 5 20 This cell left blank Alcohol Amphetamine Cannabis Cocaine Methamphetamine Phenobarbital Tramadol Multiple Controlled Substances T otal Major Violations This cell left blank FY 23-24 FY 24-25 FY 23-24 FY 24-25 FY 23-24 FY 24-25 FY 23-24 FY 24-25 FY 23-24 FY 24-25 FY 23-24 FY 24-25 FY 23-24 FY 24-25 FY 23-24 FY 24-25 FY 23-24 FY 24-25 Failed to Undergo a Required Clinical Diagnostic Evaluation 1 - - - - - - - - - - - - - - - 1 0 Committed Multiple Minor Violations of Probation Conditions and T er ms 2 - - - - - 1 - - - - - - - - - 3 0 Tr eated a Patient(s) while Under the Influence of a Prohibited Substance - - - - - - - - - - - - - - - - 0 0 Engaged in Any Drug or Alcohol Related Act that is a Violation of State or Federal Law or Regulation - - - - - - - - - - - - - - - - 0 0 Failed to Undergo Biological Fluid T esting (BFT) when Ordered 9 5 - - 1 - 1 - - - - - - - 4 1 15 6 Used, Consumed, Ingested, or Administered to Himself or Herself a Prohibited Substance 2 2 3 1 - - 1 - - - 1 - 1 - 1 - - 3 7 Knowingly Used, Made, Altered, or Possessed any Object or Product in Such a W ay as to Defraud or Attempt to Defraud a BFT Designed to Detect the Presence of a Prohibited Substance - - - - - - - - - - - - - - - - 0 0 Failed to Comply with any T er m or Condition of Probation that Impairs Public Safety 2 - - - - - - - - - - - - - - - - 0 0 Substances Involved 14 8 1 0 1 1 2 0 0 1 0 1 0 1 4 1 22 13 Substance-Abusing Licensees Major Violations by Substance 1

1 Research Psychoanalyst data as of December 31, 2024. 2 Per BPC §2510. 3 Per BPC §2216.3. Issued Current Licenses and Registrations Licensed Midwives 34 494 Research Psychoanalyst 1 7 0 Polysomnographic Trainee 77 164 Polysomnographic Technician 20 166 Polysomnographic Technologist 14 615 Accreditation Agencies for Outpatient Surgery Settings 0 4 is cell left blank FY 23-24 FY 24-25 Complaints Complaints Received 49 43 Complaints Closed by Complaint Unit 50 40 Investigations Cases Opened 16 14 Cases Closed 12 11 Cases Referred to the Attorney General (AG) 3 4 Cases Referred for Criminal Action 1 1 Probation Violation Reports Referred to the AG 0 1 Reports Received Based Upon Legal Requirements Midwife Hospital Transfer Forms 2 219 208 Outpatient Adverse Event Reports 3 36 17 Referral and Compliance Actions Citation and Administrative Fines Issued 2 0 License Restrictions/Suspensions Imposed While Administrative Action Pending Interim Suspension Order 0 0 Other Suspension Orders 1 1 Administrative Actions Accusation 3 3 Petition to Revoke Probation 0 0 FY 23-24 FY 24-25 Administrative A ctions Continued Amended Accusation/Petition to Revoke 2 0 Statement of Issues to Deny Application 1 1 Completed Investigations Referred to the AG and A waiting the Filing of Accusation as of June 30, 2025. 0 0 Administrative Outcomes License Revoked 1 2 License Surrendered (in Lieu of Accusation or with Accusation Pending) 3 1 License Placed on Probation with Suspension 0 0 License Placed on Probation 2 0 Probationary License Issued 0 0 Public Reprimand 0 0 Other Actions (e.g., Exam Required, Educational Course, etc.) 0 0 Statements of Issues Denied (License Granted) 0 1 Statements of Issues Granted (License Denied) 0 0 Accusation/Statements of Issues Withdrawn 0 0 Accusation Dismissed 0 0 Probation Violation Outcomes License Revoked or License Surrendered 2 1 Additional Suspension or Probation 0 0 Petition Withdrawn or Dismissed 0 0 Petitions for Reinstatement of License Filed 0 1 Granted/Denied 0/0 0/0 Petitions for Penalty Relief 1 Granted/Denied 0/1 0/0 Petitions to Compel Exam Filed 0 2 Granted/Denied 0/0 2/0 1 Penalty Relief includes Petitions for Modification of Penalty and Petitions for T er mination of Probation. Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 -2 02 5 21 Allied he althcare professionals under the Board’s authority include licensed midwives (LM), and the polysomnographic program, consisting of polysomnographic trainees, technicians, and technologists. Polysomnographic registrants work under the supervision of a licensed physician and surgeon and engage in the diagnosis, treatment, and management of patients with sleep and wake disorders. In addition, the Board approves accreditation agencies for the accreditation of outpatient surgery settings. In January 2025, as required by SB 815 (Roth, Chapter 294, Statutes of 2023) the Board transferred the licensing and regulatory authority of research psychoanalysts to the Board of Psychology. ALLIED HEAL THCARE PROFESSIONALS

Continui ng Educ at ion E xper t Review e r Program P ubl ic a tions / Out reac h (9 16) 2 6 3 - 2 6 4 5 (9 16) 2 6 3 - 2 5 0 0 (9 16) 2 6 3 - 2 4 6 6 M idwives - All i nqu ir ies P hysic ian Assistants (9 16) 2 6 3 - 2 3 9 3 (9 16) 5 61- 8 7 8 0 Aff il iat ed Heal ing A r ts Pro fession s Fo r question s or as sistance with the f ollowin g: Consume r Compl ai nts a nd In form at ion Applications He alth F ac ility Di sc iplin e R ep or ts Fic ti ti ous Name P er mi ts Lic en se Renew a ls BreEZ e Assistanc e Fo r question s or as sistance with the f ollowin g: (8 0 0) 633-2322 o r (9 16) 2 6 3 - 2 3 8 2 ME DICAL BO ARD OF CALIFORN IA 2023 2024 Licensed Midwife Annual Report Summary 1 Clients Served as Primary Caregiver at the Onset of Care 7,444 6,504 Planned Out-of-Hospital Births at the Onset of Labor 4,958 4,423 Planned Out-of-Hospital Births Completed in an Out-of-Hospital Setting 2 4,174 3,744 Sets of Twin Births 4 6 Sets of Multiple Births (Other Than Twin Births) 0 0 Breech Births 89 34 VBAC (V aginal Birth After Cesarean Section) 230 185 Complications Resulting in the Mortality of the Mother Prior to Transfer 1 0 Resulting in the Mortality of the Mother After Transfer 0 0 Resulting in the Mortality of the Infant Prior to Transfer 1 0 Resulting in the Mortality of the Infant After Transfer 3 2 Resulting in Fetal Demise Prior to the Mother Being Transferr ed 12 13 Resulting in Fetal Demise After the Mother was Transferr ed 8 10  Conclusions should not be drawn from this summary as data does not specify whether the death is intrapartum or neonatal; whether the affected perinate had congenital anomalies incompatible with life; or whether the perinate was born in or out of a hospital. Births are attended by the licensed midwife as the primary caregiver.  Clients delivering multiples is counted as one birth. 2023 2024 Antepartum T ransfers Primary Care T ransferred to Another Health Care Practitioner (Elective) 322 268 Urgent or Emergency Transport of Expectant Mother 107 120 Intrapartum T ransfers Elective Hospital Transfer 647 574 Urgent or Emergency Transfer of an Infant or Mother 140 110 Postpartum T ransfers Elective Hospital Transfer of Mother 29 15 Elective Hospital Transfer of Infant 20 21 Urgent or Emergency Transfer of Mother 45 39 Urgent or Emergency Transfer of Infant 36 49 Me di cal B oa rd of Cal ifo r ni a An nua l Rep or t | 2 024 -2 02 5 22 LMs are licensed by the Board to practice midwifery and attend cases of normal pregnancy and childbirth. LMs may provide prenatal, intrapartum, and postpartum care, including family-planning care, for the mother, and immediate care (first six weeks) for the newbor n. Licensed Midwife R eport