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⚠️ Important: This comparison is based on published state licensing requirements and may not reflect recent changes. Reciprocity and transfer rules change frequently and are evaluated on a case-by-case basis by state licensing boards. This tool is for research purposes only and does not constitute legal or professional advice. Always contact California Emergency Medical Services Authority (EMSA); all EMT certification services provided through Certifying Entities and Local EMS Agencies (LEMSAs) directly to confirm current transfer requirements before submitting any applications or fees.
Everything you need to know about transferring your emt / paramedic license from Nevada to California
California accepts out-of-state EMT certifications through the local LEMSA. Applicants must apply to the specific LEMSA where they intend to work. NREMT certification may expedite the process. California is NOT an EMS Compact member state. Each LEMSA may have additional requirements.
| Requirement | Nevada (NV) | California (CA) |
|---|---|---|
| Education Requirements | High school diploma or GED | High school diploma or GED |
| Exam Requirements | Not available | Not available |
| Experience Requirements | Not available | Not available |
| Fees | emt course cost: $1,000-$2,500; paramedic course cost: $8,000-$16,000; nremt exam fee: $80; state application fee: $37; state license fee: $61; renewal fee: $36 (certificate) + $15 (attendant license); total initial emt cost: $1,000 (program) + $104 (NREMT exam) + $37 (certificate) + $61 (attendant license); total initial paramedic cost: $8,000 (program) + $104 (NREMT exam) + $37 (certificate) + $99 (attendant license); confidence: high; sources: https://www.dpbh.nv.gov/regulatory/emergency-medical-systems-ems/ems-licensing/; https://www.dpbh.nv.gov/Reg/EMS/dta/FAQs/Emergency_Medical_System_(EMS)_-_FAQs/ | emt course cost: $1,000-$3,500; paramedic course cost: $10,000-$25,000; nremt exam fee: $80; state application fee: $37; state license fee: Varies by LEMSA; background check fee: $80; renewal fee: $37 (EMSA) + LEMSA fees vary; total initial emt cost: $1,000-$3,500 (program) + $104 (NREMT) + $37 (EMSA) + ~$80 (Live Scan) + LEMSA fees; total initial paramedic cost: $10,000-$25,000 (program) + $104 (NREMT) + $37 (EMSA) + ~$80 (Live Scan) + LEMSA fees; confidence: high; sources: https://emsa.ca.gov/emt/; https://www.nremt.org/resources/state-ems-offices/CA |
| Renewal / CE Requirements● | Period: 2 years; Fee: $36 | Period: 2 years; Fee: $37 (EMSA) + LEMSA fees vary |
Data verified as of 2026-03-21. Requirements may have changed since verification.
Gather required documentation (education transcripts, experience logs, exam scores).
These steps are general guidance based on common transfer processes. Your state may have a different process. Always follow the instructions provided by your state licensing board.
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