IMMUNIZATION BRANCH

Licensees Authorized to Administer Vaccines in California

To navigate directly to the following types of providers, use the links below:

Physicians and Medical Students
Naturopathic Doctors
Physician Assistants and Physician Assistant Students
Nurses and Nursing Students
Midwives and Student Midwives
Medical Assistants
Pharmacists, Pharmacy Interns, and Pharmacy Technicians
Emergency Medical Personnel
Dentists, Dental Students, and Dental Hygienists
Optometrists and Optometry Students
Podiatrists and Podiatry Students
Respiratory Care Practitioner and Respiratory Care Students
Psychiatric Technicians and Students
Veterinarians and Veterinary Students
Individuals with an Inactive, Expired, Or Lapsed License as A Physician and Surgeon, Registered Nurse, Pharmacist, Midwife, Respiratory Care Practitioner, Dentist, Physician Assistant, Podiatrist, Optometrist, or Veterinarian

Physicians and Medical Students

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Physician and Surgeon (allopathic)	Medical Board of California Business and Professions Code (BPC) § 2051	May independently initiate
Osteopathic Physician and Surgeon	Osteopathic Medical Board of California BPC §§ 2051 & 2453	May independently initiate
Medical Students	Medical Board of California BPC § 2064	May engage in the practice of medicine, including administering vaccines, whenever and wherever prescribed as a part of their course of study. See note below.*
Physician and Surgeon Postgraduate Training License Holders	Medical Board of California BPC §§ 2064.5 & 2065	May practice medicine, including administering vaccines, whenever and wherever required as part of postgraduate training program.
Visiting Fellow Registrant	Medical Board of California BPC §§ 2111 & 2112	May practice medicine, including administering vaccines, in the department or division in the medical school to which they are appointed, under the direction of the head of the department to which they are appointed, and supervised by the staff of the medical school's medical center; or, May practice medicine, including administering vaccines, in the specialty program in the sponsoring hospital, under the direction and supervision of a licensed, board-certified physician and surgeon who is recognized as a clearly outstanding specialist in the field in which the foreign fellow is to be trained.
Medical School Faculty Member Registrant	Medical Board of California BPC § 2113	May practice medicine, including administering vaccines, incident to and a necessary part of their duties as approved by the Board in connection with the faculty position at the medical school or academic medical center or their affiliated institutions.
Special Faculty Permit	Medical Board of California BPC § 2168	May practice medicine, including administering vaccines, within the medical school or academic medical center (AMC) or at affiliated institutions in which the permitholder is providing instruction as part of the medical school’s or AMC’s educational program and for which the medical school or AMC has assumed direct responsibility.

Naturopathic Doctors

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Naturopathic Doctors	Naturopathic Medicine Committee BPC § 3640.5 16 CCR § 4236	Pursuant to standardized procedure or protocol, under physician and surgeon supervision, and with a furnishing number from the Naturopathic Medicine Committee.

Licensee

Authorizing Statutes & Regulations

Conditions for Immunizing

Naturopathic Doctors

Naturopathic Medicine Committee

BPC § 3640.5

16 CCR § 4236

Pursuant to standardized procedure or protocol, under physician and surgeon supervision, and with a furnishing number from the Naturopathic Medicine Committee.

Physician Assistants and Physician Assistant Students

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Physician Assistant	Physician Assistant Board Physician Assistant FAQs BPC § 3502 16 CCR § 1399.540	The physician assistant is competent to perform; The education, training, and experience have prepared the physician assistant to perform; Immunization is authorized by a practice agreement; The physician assistant is supervised pursuant to the practice agreement's terms; and A supervising physician is available by, at a minimum, electronic means. See note below.*
Physician Assistant Students	Physician Assistant Board	See note below.*

Licensee

Authorizing Statutes & Regulations

Conditions for Immunizing

Physician Assistant

Physician Assistant Board

Physician Assistant FAQs

BPC § 3502

16 CCR § 1399.540

The physician assistant is competent to perform;
The education, training, and experience have prepared the physician assistant to perform;
Immunization is authorized by a practice agreement;
The physician assistant is supervised pursuant to the practice agreement's terms; and
A supervising physician is available by, at a minimum, electronic means.

See note below.*

Physician Assistant Students

Physician Assistant Board

See note below.*

Nurses and Nursing Students

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Registered Nurse, Clinical Nurse Specialist, Nurse Anesthetist, Nurse Midwife, Public Health Nurse, Nurse Practitioner	Board of Registered Nursing BPC § 2725	May independently initiate.
Registered Nurse Interim Permit Holders	Board of Registered Nursing BPC § 2732.1 16 CCR § 1414	Under direct supervision of a licensed registered nurse who is present and available on the patient care unit.
Registered Nurse Temporary License Holders	Board of Registered Nursing BPC § 2733	May independently initiate.
Registered Nursing Students	Board of Registered Nursing BPC § 2729	A student enrolled in a Board-approved prelicensure nursing program may provide nursing services, including immunizations, incidental to their course of nursing study. See note below.*
Licensed Vocational Nurse	Board of Vocational Nursing and Psychiatric Technicians BPC §§ 2860.5 & 2860.7	Under direction of a physician and surgeon; Upon standing orders of supervising physician; or Pursuant to written guidelines adopted by the hospital or medical group with whom the physician is associated.
Licensed Vocational Nursing Students	Board of Vocational Nursing and Psychiatric Technicians BPC § 2862	When enrolled in an approved vocational nursing school and when immunization services are incidental to student course of study. See note below.*

Midwives and Student Midwives

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Licensed Midwives and Student Midwives	Medical Board of California	See note below.*

Medical Assistants

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Medical Assistant	Medical Board of California BPC § 2069 16 CCR § 1366	If trained to administer medication by injection, medical assistants may administer vaccine as follows: Under written order by physician, nurse practitioner, physician assistant, or Certified Nurse Midwife Licensed supervising physician, physician assistant, nurse practitioner, or certified nurse midwife, as applicable, must be onsite

Licensee

Authorizing Statutes & Regulations

Conditions for Immunizing

Medical Assistant

Medical Board of California

BPC § 2069

16 CCR § 1366

If trained to administer medication by injection, medical assistants may administer vaccine as follows:

Under written order by physician, nurse practitioner, physician assistant, or Certified Nurse Midwife
Licensed supervising physician, physician assistant, nurse practitioner, or certified nurse midwife, as applicable, must be onsite

Pharmacists, Pharmacy Interns, and Pharmacy Technicians

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Pharmacist	Board of Pharmacy BPC §§ 4052(a)(11) & 4052.8(a) 16 CCR § 1746.4 (PDF)	May independently initiate and administer vaccines approved or authorized by FDA and ACIP vaccines to persons ages three years and older. May administer immunizations to all ages pursuant to a protocol with a prescriber. Must be certified in basic life support and complete a CDC- or Accreditation Council for Pharmacy Education (ACPE)-endorsed immunization training program that includes a hands-on component.
Pharmacy Intern	Board of Pharmacy BPC § 4114	May perform all functions of a pharmacist at the discretion of and under the direct supervision and control of a pharmacist.
Pharmacy Technician	Board of Pharmacy BPC § 4115	The pharmacy technician may, under the direct supervision and control of a pharmacist, prepare and administer influenza and COVID-19 vaccines via injection or intranasally, prepare and administer epinephrine, perform specimen collection for tests that are classified as waived under CLIA, receive prescription transfers, and accept clarification on prescriptions under the following conditions: The pharmacy has scheduled an additional technician to assist the pharmacist by performing other technician tasks The pharmacy technician is certified and maintains that certification. The pharmacy technician has successfully completed at least six hours of practical training approved by the Accreditation Council for Pharmacy Education and includes hands-on injection technique, the recognition and treatment of emergency reactions to vaccines, and an assessment of the pharmacy technician's injection technique. The pharmacy technician is certified in basic life support.

Licensee

Authorizing Statutes & Regulations

Conditions for Immunizing

Pharmacist

Board of Pharmacy

BPC §§ 4052(a)(11) & 4052.8(a)

16 CCR § 1746.4 (PDF)

May independently initiate and administer vaccines approved or authorized by FDA and ACIP vaccines to persons ages three years and older.
May administer immunizations to all ages pursuant to a protocol with a prescriber.
Must be certified in basic life support and complete a CDC- or Accreditation Council for Pharmacy Education (ACPE)-endorsed immunization training program that includes a hands-on component.

Pharmacy Intern

Board of Pharmacy

BPC § 4114

May perform all functions of a pharmacist at the discretion of and under the direct supervision and control of a pharmacist.

Pharmacy Technician

Board of Pharmacy
BPC § 4115

The pharmacy technician may, under the direct supervision and control of a pharmacist, prepare and administer influenza and COVID-19 vaccines via injection or intranasally, prepare and administer epinephrine, perform specimen collection for tests that are classified as waived under CLIA, receive prescription transfers, and accept clarification on prescriptions under the following conditions:

The pharmacy has scheduled an additional technician to assist the pharmacist by performing other technician tasks
The pharmacy technician is certified and maintains that certification.
The pharmacy technician has successfully completed at least six hours of practical training approved by the Accreditation Council for Pharmacy Education and includes hands-on injection technique, the recognition and treatment of emergency reactions to vaccines, and an assessment of the pharmacy technician's injection technique.
The pharmacy technician is certified in basic life support.

Emergency Medical Personnel

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Paramedic (for EMT see below)	Emergency Medical Services Authority Scope of Practice Document from EMSA, page 54 (PDF)	During a public health emergency. Requires approval by the director of the local EMS agency.
EMTs	Emergency Medical Services Authority	Director of EMSA has authority to implement additions to local optional scopes of practice, including EMT scope of practice, when approved by the local EMS agency.

Licensee

Authorizing Statutes & Regulations

Conditions for Immunizing

Paramedic
(for EMT see below)

Emergency Medical Services Authority

Scope of Practice Document from EMSA, page 54 (PDF)

During a public health emergency.
Requires approval by the director of the local EMS agency.

EMTs

Emergency Medical Services Authority

Director of EMSA has authority to implement additions to local optional scopes of practice, including EMT scope of practice, when approved by the local EMS agency.

Dentists, Dental Students, and Dental Hygienists

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Dentists	Dental Board of California BPC § 1625.6	May independently prescribe and administer influenza and COVID-19 vaccines approved or authorized by the FDA in compliance with ACIP to persons age 3 years and older Must complete an immunization training program biennially offered by CDC or through a registered provider approved by the Dental Board. Must comply with federal and state recordkeeping and reporting requirements. Vaccine must be administered in accordance with any applicable FDA emergency use authorization.
Dental Students	Dental Board of California	See note below.*
Registered Dental Hygienists	Dental Hygiene Board of California	See note below.*

Licensee

Authorizing Statutes & Regulations

Conditions for Immunizing

Dentists

Dental Board of California

BPC § 1625.6

May independently prescribe and administer influenza and COVID-19 vaccines approved or authorized by the FDA in compliance with ACIP to persons age 3 years and older
Must complete an immunization training program biennially offered by CDC or through a registered provider approved by the Dental Board.
Must comply with federal and state recordkeeping and reporting requirements.
Vaccine must be administered in accordance with any applicable FDA emergency use authorization.

Dental Students

Dental Board of California

See note below.*

Registered Dental Hygienists

Dental Hygiene Board of California

See note below.*

Optometrists and Optometry Students

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Optometrists	Optometry Board of California BPC §§ 3041 and 3041.5.	May independently prescribe and administer influenza, herpes zoster virus, pneumococcus, and COVID-19 vaccines to persons aged 18 years and older. Must hold a valid Therapeutic Pharmaceutical Agents (TPA) certificate Must complete an application for an immunization certificate on a board approved form and pay the fee. Must be certified in basic life support and complete a CDC- or ACPE-endorsed training that includes the recognition and treatment of emergency reactions to vaccines, hands-on injection technique, and clinical evaluation of indications and contraindications of vaccines (see Pharmacy-Based Immunization Delivery training for an example of qualifying training). Must comply with federal and state recordkeeping and reporting requirements. Vaccine must be administered in accordance with any applicable FDA emergency use authorization or license.
Optometry Students	Optometry Board of California	See note below.*

Licensee

Authorizing Statutes & Regulations

Conditions for Immunizing

Optometrists

Optometry Board of California

BPC §§ 3041 and 3041.5.

May independently prescribe and administer influenza, herpes zoster virus, pneumococcus, and COVID-19 vaccines to persons aged 18 years and older.
Must hold a valid Therapeutic Pharmaceutical Agents (TPA) certificate
Must complete an application for an immunization certificate on a board approved form and pay the fee.
Must be certified in basic life support and complete a CDC- or ACPE-endorsed training that includes the recognition and treatment of emergency reactions to vaccines, hands-on injection technique, and clinical evaluation of indications and contraindications of vaccines (see Pharmacy-Based Immunization Delivery training for an example of qualifying training).
Must comply with federal and state recordkeeping and reporting requirements.
Vaccine must be administered in accordance with any applicable FDA emergency use authorization or license.

Optometry Students

Optometry Board of California

See note below.*

Podiatrists and Podiatry Students

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Podiatrists	Podiatric Medical Board BPC § 2473	May independently prescribe and administer influenza and COVID-19 vaccines approved or authorized by the FDA in compliance with ACIP to persons aged 3 years and older. Must complete an immunization training program biennially offered by CDC or through a registered provider approved by the Podiatric Medical Board. Must comply with federal and state recordkeeping and reporting requirements.
Podiatry Students	Podiatric Medical Board BPC § 2476	When performing at an approved school and under the supervision of a physician and surgeon, whenever prescribed as part of the course of study. See note below.*

Licensee

Authorizing Statutes & Regulations

Conditions for Immunizing

Podiatrists

Podiatric Medical Board

BPC § 2473

May independently prescribe and administer influenza and COVID-19 vaccines approved or authorized by the FDA in compliance with ACIP to persons aged 3 years and older.
Must complete an immunization training program biennially offered by CDC or through a registered provider approved by the Podiatric Medical Board.
Must comply with federal and state recordkeeping and reporting requirements.

Podiatry Students

Podiatric Medical Board

BPC § 2476

When performing at an approved school and under the supervision of a physician and surgeon, whenever prescribed as part of the course of study.

See note below.*

Respiratory Care Practitioners and Respiratory Care Students

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Respiratory Care Practitioner	Respiratory Care Board of California BPC §§ 3702 & 3703 16 CCR § 1399.364	Under supervision of medical director in accordance with physician order See note below.*
Respiratory Care Practitioner Students	Respiratory Care Board of California BPC § 3741 & 3742	When enrolled in an approved respiratory care training program, during the period of clinical training, when services are incidental to the course of study, and under direct supervision of licensed respiratory care practitioner. See note below.*

Licensee

Authorizing Statutes & Regulations

Conditions for Immunizing

Respiratory Care Practitioner

Respiratory Care Board of California

BPC §§ 3702 & 3703

16 CCR § 1399.364

Under supervision of medical director in accordance with physician order

See note below.*

Respiratory Care Practitioner Students

Respiratory Care Board of California

BPC § 3741 & 3742

When enrolled in an approved respiratory care training program, during the period of clinical training, when services are incidental to the course of study, and under direct supervision of licensed respiratory care practitioner.

See note below.*

Psychiatric Technicians and Students

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Psychiatric Technician	Board of Vocational Nursing and Psychiatric Technicians BPC §§ 4502.1 & 4502.3	When working in a mental health facility or developmental disability facility and prescribed by a physician and surgeon. On a patient with a mental illness or developmental disability, upon standing orders of a supervising physician and surgeon or pursuant to written guidelines adopted by a hospital or medical group with whom the supervising physician and surgeon is associated.
Psychiatric Technician Students	Board of Vocational Nursing and Psychiatric Technicians BPC § 4509.5	Only when pursuant to a course of training for licensure as a psychiatric technician in a Board-approved school.

Licensee

Authorizing Statutes & Regulations

Conditions for Immunizing

Psychiatric Technician

Board of Vocational Nursing and Psychiatric Technicians

BPC §§ 4502.1 & 4502.3

When working in a mental health facility or developmental disability facility and prescribed by a physician and surgeon.
On a patient with a mental illness or developmental disability, upon standing orders of a supervising physician and surgeon or pursuant to written guidelines adopted by a hospital or medical group with whom the supervising physician and surgeon is associated.

Psychiatric Technician Students

Board of Vocational Nursing and Psychiatric Technicians

BPC § 4509.5

Only when pursuant to a course of training for licensure as a psychiatric technician in a Board-approved school.

Veterinarians and Veterinary Students

Licensee	Authorizing Statutes & Regulations	Conditions for Immunizing
Veterinarians and Veterinary Students	Veterinary Medical Board	See note below.*

Individuals with An Inactive, Expired, Or Lapsed License As A Physician and Surgeon, Registered Nurse, Pharmacist, Midwife, Respiratory Care Practitioner, Dentist, Physician Assistant, Podiatrist, Optometrist, or Veterinarian

Licensee*	Authorizing Statutes & Regulations	Conditions for Immunizing
Individuals with an Inactive, Expired, or Lapsed License as a Physician and Surgeon, Registered Nurse, Pharmacist, Midwife, Respiratory Care Practitioner, Dentist, Physician Assistant, Podiatrist, Optometrist, or Veterinarian		See note below.*

* Interested parties may wish to evaluate the federal Public Readiness and Emergency Preparedness Act (PREP Act) (PDF) and the public declarations issued by the Secretary of the federal Department of Health and Human Services pursuant to the PREP Act with legal counsel to determine eligibility for these licensed healthcare professionals or students to continue administering COVID-19 vaccinations beyond the standard scope of practice.

‡ Provider scope of practice issues are under the jurisdiction of the Department of Consumer Affairs. CDPH does not license these professions. CDPH defers to DCA for comprehensive, authoritative legal review of provider authority to administer vaccines.

Additional Resources:

CDPH-Prescribed Immunization Training

Department of Consumer Affairs (DCA)

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