Primary Care Clinic - Consolidated  
Initial Application Packet

A State license is required to operate a Primary Care Clinic (PCC) in California. A PCC or affiliate clinic may be eligible for a consolidated license. Consolidated license means allowing eligible PCCs or affiliate clinics to add additional physical plants, maintained and operated on separate premises, to an existing PCC or affiliate clinic site. The PCC or affiliate clinic license shall be amended to include the additional physical plant as part of a single consolidated license. A PCC or affiliate clinic may add additional locations that are no more than one-half mile from the licensed clinic adding the additional physical plant under the consolidated license. The clinic corporation that operates the existing licensed PCC shall demonstrate compliance with the following criteria:

1. there is a single governing body for all the facilities maintained and operated by the licensee;
2. there is a single administration for all the facilities maintained and operated by the licensee; and,
3. there is a single medical director for all the facilities maintained and operated by the licensee, with a single set of bylaws, rules, and regulations.
   

To apply for an Initial license, you must complete the required application packet. Refer to Health and Safety Code sections 1200 through 1245 for information regarding licensure requirements.

How to Apply

An applicant must submit a completed application packet to the Centralized Applications Branch (CAB). The application packet contains the required forms in one location. The provider checklist identifies the required forms and supporting documents needed to apply for licensing and certification. The provider instructions are a resource to guide you through the process. 

Please refer to the following links to get started:

• Provider Instructions (PDF)
  
• Provider Checklist 
  

Where to Submit Applications

Submit completed application packets to the CAB at the address listed below. Do not send any completed application packets, forms, or supporting documents to the local CDPH, District Office.

          California Department of Public Health
          Licensing and Certification Program
          Centralized Applications Branch
          P.O. Box 997377, MS 3207
          Sacramento, CA 95899-7377