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Certification and Accreditation


The Prehospital Certification Section is responsible for the certification and accreditation of EMS personnel.



Emergency Medical Responder (EMR) is NOT recognized in Los Angeles County 

Submit your complete EMT application to the EMS Agency in person during normal business hours or by mail. Click HERE to Pay Online

The EMS Agency is unable to provide same-day-service for EMT certification or recertification. Your EMT card will be mailed to you within 21 days of receiving a complete application.

EMT Recertification

In order to prevent a lapse in EMT certification, submit your recertification application at least 30 days prior to the expiration date.

If you have additional questions call (562) 378-1500 or send an email to:


Jacqueline Rifenburg, RN, BSN
Chief, Certification


Roberto Orozco

Nicholas Todd, PM
Manager, EMS Personnel Certification
(562) 378-1632

Lynne An 
Paramedic Accreditation
MICN Certification
(562) 378-1637

Susan Miller
EMT Certification
(562) 378-1635


The L. A. County EMS Agency certifies Emergency Medical Technicians (EMT) and Mobile Intensive Care Nurses (MICN). Also, all paramedics must be licensed by the State of California and become locally accredited in order to work as a paramedic within the County of Los Angeles. EMT-II/AEMT (EMT-Intermediate/Advanced EMT) is not a recognized designation in L. A. County.

The National Registry of Emergency Medical Technicians (NREMT)

The NREMT application process has changed to online only. In order to become eligible to test for NREMT, you must attend and complete an approved training program, register online with NREMT, be approved by your training program director for course completion, and pay their fee. Once this is complete, you will receive an authorization to test with an authorization to test number, website link and phone number to schedule yourself to take the NREMT written exam administered testing centers designated by the NREMT. The exam standard for initial certification for EMT-Basic and EMT-Paramedic in California is the NREMT written and practical exam. For additional information about certification by the National Registry of Emergency Medical Technicians as an EMT-Paramedic or EMT-Basic, visit their web site at www.nremt.org ( http://www.nremt.org/ ) or call (614) 888-4484.

National Registry certification alone does not allow you to work as an EMT-I or Paramedic in California.

EMT Certification

In order to work as an EMT in California, you must be certified by one certifying entity (Local EMS Agency). This certification is valid statewide. Check with the local EMS agency in the county you work to identify if there are additional local requirements to function. For questions concerning EMT certification in L. A. County, check the Certification ( http://ems.dhs.lacounty.gov/Certification/Cert.htm ) section web page or email emtinfo@dhs.lacounty.gov.

Paramedic State Licensure

In California, to become licensed as a Paramedic, you must pass the National Registry exam and complete all State requirements. For information on State licensure, check the EMS Authority's web page at
http://www.emsa.ca.gov/ ) or call paramedic licensing at (916) 322-4336.

Paramedic Local Accreditation

In accordance with State regulations, a paramedic must be accredited to practice within a local jurisdiction. Paramedics must be sponsored by a approved L. A. County ALS Provider Agency in order to become accredited. For questions regarding accreditation in L. A. County, contact your Paramedic Coordinator or Lynne An at lan@dhs.lacounty.gov.For more information about L. A. County Prehospital Certification requirements, select from the following: