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State CPOM reference

California: CPOM Ownership & Oversight Reference

State reference
California

California: Ownership and Oversight

Strict CPOM (Moscone-Knox). California runs one ownership rule per professional corporation type, and a separate oversight rule per license type. Answer the entity question and the supervision question separately — getting one right never answers the other.

Who the statute actually covers

  • "Licensed person" (Corp. Code § 13401(c)): a natural person licensed under the Business & Professions Code, the Chiropractic Act, or the Osteopathic Act to render the same professional services as the corporation.
  • Medical corporation shareholders: "physicians and surgeons" means MDs licensed under the Medical Practice Act and DOs licensed under the Osteopathic Act. Chiropractors are not physicians here; they appear only in the § 13401.5(a) minority list.
  • PA corporation minority list (§ 13401.5(i)): physicians and surgeons, RNs, acupuncturists, naturopathic doctors, licensed midwives. This list is narrower than the medical corporation's minority list.

1. Who can own what

Entity / PathWho may ownKey limits
Professional Medical CorporationPhysicians (MD/DO) at least 51%. § 13401.5(a) licensees (psychologists, RNs, optometrists, LMFTs, LCSWs, PAs, chiropractors, acupuncturists, NDs, LPCCs, PTs, pharmacists, midwives, OTs) may hold minority shares.Non-physician shares capped at 49% combined; non-physician shareholders may not outnumber physicians.
Physician Assistant CorporationPAs may own up to 100%. § 13401.5(i) licensees may hold minority shares (49% cap; may not outnumber PA shareholders). May employ any Division 2 licensee, including physicians.Renders PA services. Every PA in the entity still practices under a practice agreement with a physician; ownership never waives it.
Nursing CorporationRNs hold the majority; § 13401.5(f) licensees may hold minority shares.AB 890 (103/104 NP status) changes scope of practice, not the ownership rule.
Lay / MSONo unlicensed ownership, voting proxies, or control of any professional corporation.MSO supports the PC via FMV MSA; 2026 amendments restrict captive-PC succession and stock-transfer controls.

2. Collaborative and supervisory oversight

RoleAgreement requiredOversight mechanicsPath to independence
PAPractice agreement with a physician (B&P § 3502.3; SB 697 replaced the delegation of services agreement).A physician may supervise a maximum of 8 PAs at any one time (B&P § 3516, as amended by AB 1501, effective Jan. 1, 2026; the prior cap was 4). No statutory chart-review percentage; review and co-signature mechanics are set in the practice agreement. Physician availability by phone/electronic means satisfies supervision.None. CA has no PA independence pathway; the practice agreement is permanent regardless of experience or ownership.
NPStandardized procedures developed and approved with a physician (B&P §§ 2834–2837) unless the NP holds AB 890 status.A physician may supervise a maximum of 4 NPs furnishing drugs or devices at one time (B&P § 2836.1(e)). Mechanics otherwise defined by the standardized procedures.AB 890 two-step: 103 NP (§ 2837.103) practices without standardized procedures in qualifying group settings after 3 FTE years or 4,600 hours; 104 NP (§ 2837.104) practices independently outside those settings after 3 additional years as a 103 NP.

3. Primary authorities

  • Cal. Corp. Code §§ 13400–13410 (Moscone-Knox); § 13401.5 (per-entity shareholder lists and 49% caps).
  • Cal. B&P Code §§ 3502, 3502.3, 3516 (PA practice agreements and supervision limits; SB 697, 2019; AB 1501, 2025).
  • Cal. B&P Code §§ 2834–2837.104 (NP standardized procedures; AB 890 103/104 pathway).
  • Cal. B&P Code § 2408; 2026 MSO/captive-PC amendments.

Myth-buster: "PAs can own 100% in California" is true only for a Physician Assistant Corporation, never a Professional Medical Corporation — and the 100% PA owner still needs a practice agreement for every PA in the building, including herself. Ownership lives in the Corporations Code; supervision lives in the B&P Code. Two different books, two different questions.

General education, not legal advice. Verify current statutes, board rules, and opinions before relying on this summary.