Chiropractic Permits & Licenses in San Jose, California

Complete guide to permits and licenses required to start a chiropractic in San Jose, California. Fees, renewal cycles, and agency contacts.

Seller's Permit (if selling tangible goods)

California Department of Tax and Fee Administration (CDTFA)
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: permit

Chiropractic services exempt from sales tax, but products are taxable. Free online registration.

Articles of Organization (LLC Formation)

California Secretary of State
Required
Fee: $70.00-$70.00
Renewal: one time
Type: registration

Required for all LLCs. Online filing available via bizfile.sos.ca.gov.

Statement of Information (Form LLC-12)

California Secretary of State
Required
Fee: $20.00-$20.00
Renewal: annual
Type: registration

Required for all LLCs. Biennial renewal.

Chiropractic License

California Board of Chiropractic Examiners
Required
Fee: $308.00-$308.00
Renewal: one time
Type: license

Prerequisites: CA Board-approved doctoral degree, 4,000 hrs training including 1,000 patient treatments, pass national NBCE exams Parts I-IV + CA law/ethics exam + CPR cert. Required for practitioners.

Chiropractic Facility Permit

California Board of Chiropractic Examiners
Required
Fee: $140.00-$140.00
Renewal: one time
Type: license

Required for each physical office location where chiropractic services provided. Must be issued to licensed chiropractor.

Fictitious Business Name (DBA) Registration

California Secretary of State (statewide) / County Clerk (local filing)
May Apply
Fee: $26.00-$100.00
Renewal: one time
Type: registration

LLCs using DBA must file with county clerk where principal place of business is located AND publish in newspaper (if required by county). Statewide filing optional via SOS.

Employer Identification Number (EIN)

Internal Revenue Service
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: registration

Required for all LLCs taxed as partnerships or corporations, or with employees. Apply online.

California Sales Tax Permit (Retail Seller's Permit)

California Department of Tax and Fee Administration (CDTFA)
May Apply
Renewal: one time
Type: registration

Chiropractic services are generally not subject to California sales tax as they are considered medical services. However, if the business sells items such as orthopedic devices, supplements, or braces that are not integral to treatment, those sales may be taxable and require registration. See CDTFA Publication 107, 'Medical and Health Services.'

California State Income Tax Withholding Registration

California Employment Development Department (EDD)
May Apply
Renewal: one time
Type: registration

All employers in California must register with CDTFA to withhold state income tax from employee wages. This includes chiropractic practices with hired staff such as assistants or administrative personnel.

Unemployment Insurance (UI) Tax Registration

California Employment Development Department (EDD)
May Apply
Renewal: one time
Type: registration

Employers must pay Unemployment Insurance tax on the first $7,000 in wages per employee annually. Rate varies by experience rating, starting at 1.5% for new employers.

California Franchise Tax

California Department of Tax and Fee Administration (CDTFA)
Required
Fee: $800.00-$800.00
Renewal: one time
Type: filing

All LLCs doing business in California must pay an annual $800 minimum franchise tax, plus a gross receipts fee if total income exceeds $250,000. See CDTFA Regulation 18651. Effective for tax years beginning on or after January 1, 2022.

California LLC Gross Receipts Fee

California Department of Tax and Fee Administration (CDTFA)
May Apply
Fee: $900.00-$900.00
Renewal: one time
Type: permit

In addition to the $800 minimum franchise tax, LLCs must pay a fee based on gross revenue. The fee is not income-based but calculated on total income. See CDTFA Regulation 18651. Effective for tax years beginning on or after January 1, 2022.

Local Business Tax (Business License/Privilege Tax)

City or County Government (varies by jurisdiction)
May Apply
Fee: $50.00-$500.00
Renewal: one time
Type: registration

Most cities and counties in California require a business license or tax registration for all businesses, including professional practices. Fees and requirements vary (e.g., Los Angeles: https://lacity.org, San Diego: https://www.sandiego.gov). Contact local city clerk or county tax office for specifics.

Los Angeles County Business License

Los Angeles County Treasurer and Tax Collector
May Apply
Fee: $83.04-$83.04
Renewal: annual
Type: license

Required for all businesses; chiropractors classified under professional services

Los Angeles City Business Tax Registration Certificate

City of Los Angeles Office of Finance
May Apply
Fee: $41.00-$41.00
Renewal: annual
Type: license

Separate from county; applies to LLCs providing chiropractic services

Zoning Compliance Verification (Los Angeles)

Los Angeles Department of City Planning
May Apply
Fee: $235.00-$235.00
Renewal: one time
Type: permit

Verify use complies with LA Municipal Code Section 12.04 (Zoning); home-based conditional

Home Occupation Permit (LA County)

Los Angeles County Department of Regional Planning
May Apply
Fee: $607.00-$607.00
Renewal: one time
Type: permit

Limited to 25% of home; no patients on-site per Title 22 Zoning Code Sec. 22.184

Building Permit for Tenant Improvements

City of Los Angeles Department of Building and Safety
May Apply
Fee: $2.50-$7.00
Renewal: one time
Type: permit

Required under LA Municipal Code Chapter IX, Article 1; ADA compliance mandatory

Sign Permit

City Planning/Building Departments
May Apply
Fee: $150.00-$500.00
Renewal: one time
Type: permit

Comply with LA Municipal Code Sec. 91.6205 size/setback rules

Fire Clearance Certificate

Los Angeles Fire Department
May Apply
Fee: $214.00-$214.00
Renewal: one time
Type: permit

Required under 2020 LA Fire Code Chapter 1; annual renewal for certain occupancies

Certificate of Occupancy

City of Los Angeles Department of Building and Safety
May Apply
Fee: $200.00-$200.00
Renewal: one time
Type: permit

LA Municipal Code Sec. 91.106; Group B occupancy for medical offices

Fire Alarm Permit

Los Angeles Department of Building and Safety
May Apply
Fee: $300.00-$300.00
Renewal: one time
Type: permit

Required per LA Fire Code Sec. 907 for Business (B) occupancy

San Diego County Health Permit (if applicable)

San Diego County Health and Human Services
May Apply
Renewal: annual
Type: permit

Generally not applicable to standard chiropractic; verify if hydrotherapy used

Zoning Use Permit (San Francisco)

San Francisco Planning Department
May Apply
Fee: $1451.00-$1451.00
Renewal: one time
Type: permit

Chiropractic typically permitted in NC/NCV zones per Planning Code Article 7

Workers' Compensation Insurance

California Department of Industrial Relations (DIR), Division of Workers' Compensation (DWC)
May Apply
Fee: $1.50-$5.00
Renewal: one time
Type: certificate

Required for all employers in California with at least one employee, including part-time and family members. Sole proprietors without employees are exempt. Chiropractors who employ assistants, receptionists, or other staff must carry coverage. Enforced under California Labor Code § 3700.

General Liability Insurance

Private insurers (e.g., Hiscox, Next Insurance)
Required
Fee: $1000.00-$3000.00
Renewal: one time
Type: certificate

Not legally required by California state law for chiropractic practices, but strongly recommended. Often required by landlords, lenders, or professional associations. May be necessary for malpractice claims involving premises liability. Regulated indirectly through private contracts.

Professional Liability / Errors and Omissions Insurance

Not mandated by California law
Required
Fee: $500.00-$2000.00
Renewal: one time
Type: certificate

Not legally required by California law for chiropractors, but strongly recommended. While California does not mandate professional liability insurance for chiropractors specifically, many malpractice carriers bundle it with general liability. Required for participation in some health networks or group practices. Enforced through private contracts rather than statute.

Surety Bond (License Bond)

Not Applicable
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: certificate

A $25,000 surety bond is required by the California Board of Chiropractic Examiners for all licensed chiropractors under Business and Professions Code § 493. This applies to individual practitioners, not the LLC entity itself. The bond ensures compliance with state laws and regulations. Can be waived if the licensee provides a $25,000 cash deposit instead.

Commercial Auto Insurance

California Department of Motor Vehicles (DMV)
May Apply
Fee: $1200.00-$3000.00
Renewal: one time
Type: certificate

Required for any vehicle registered to the LLC. Minimum liability coverage: $15,000 for injury/death per person, $30,000 per accident, $5,000 for property damage. Higher limits recommended for commercial use. Applies regardless of business type if vehicle is used for business purposes.

Product Liability Insurance

Not mandated by California law
May Apply
Fee: $500.00-$3000.00
Renewal: one time
Type: certificate

Not legally mandated by California law, but highly recommended if the chiropractic business sells or distributes products. Potential liability under California Civil Code and product safety laws. Risk increases if selling dietary supplements or medical devices. No state-mandated minimum coverage.

Liquor Liability Insurance

California Department of Alcoholic Beverage Control (ABC)
May Apply
Fee: $500.00-$2000.00
Renewal: one time
Type: certificate

Only applicable if the chiropractic office hosts events where alcohol is served. Most chiropractic practices do not serve alcohol, so this is typically not required. If alcohol is served without a license or proper insurance, penalties apply under ABC regulations.

Cyber Liability / Data Breach Insurance

California Department of Consumer Affairs; California Attorney General
May Apply
Fee: $500.00-$2000.00
Renewal: one time
Type: certificate

Not statutorily mandated for all chiropractors, but strongly recommended and often required by contracts or EHR providers. Covers legal defense, notification costs, and regulatory fines related to data breaches. Required under evolving interpretations of California’s privacy laws.

Obtain an Employer Identification Number (EIN)

Internal Revenue Service (IRS)
Required
Fee: $0.00-$0.00
Renewal: one time
Type: filing

Required for all LLCs, including single-member LLCs that are disregarded entities, for tax reporting purposes. Chiropractic practices structured as LLCs must have an EIN even if no employees are present.

Federal Income and Self-Employment Tax Filing Obligations

Internal Revenue Service (IRS)
Required
Renewal: one time
Type: filing

As an LLC, a chiropractic business is typically treated as a disregarded entity (for single-member) or partnership (for multi-member) unless it elects corporate taxation. Profits are passed through to owners’ personal tax returns. Owners must pay self-employment tax (Social Security and Medicare) via Schedule SE.

OSHA General Duty Clause Compliance

Occupational Safety and Health Administration (OSHA)
May Apply
Fee: $500.00-$5000.00
Renewal: one time
Type: permit

Applies to chiropractic clinics with employees. Employers must provide a workplace free from recognized hazards. Specific requirements include injury and illness recordkeeping (OSHA Form 300) if over 10 employees or in certain industries (chiropractic care is not on the exemption list for recordkeeping). Bloodborne pathogens training required if handling bodily fluids (e.g., minor bleeding from adjustments).

ADA Title III Compliance for Public Accommodations

U.S. Department of Justice (DOJ)
Required
Fee: $1000.00-$20000.00
Renewal: one time
Type: permit

All chiropractic offices open to the public must comply with ADA Title III, including physical access (ramps, door widths, restrooms), accessible medical equipment (e.g., exam tables with height adjustability), and communication access (e.g., for patients with hearing or vision impairments). Applies regardless of number of employees.

EPA Medical Waste Regulations (if applicable)

Environmental Protection Agency (EPA)
May Apply
Renewal: one time
Type: permit

Chiropractic practices typically do not generate large volumes of hazardous waste. However, if using needles (e.g., for trigger point injections where permitted), sharps must be disposed of in accordance with RCRA Subtitle C. Most routine chiropractic care does not involve regulated waste, but state rules (e.g., Cal/OSHA) may be stricter.

FTC Enforcement of Advertising and Marketing Claims

Federal Trade Commission (FTC)
Required
Renewal: one time
Type: permit

Chiropractic businesses must ensure all advertising (websites, flyers, social media) is truthful and not misleading. FTC enforces against unsubstantiated claims (e.g., “cures back pain” without evidence). Claims must be supported by competent and reliable scientific evidence, especially for health outcomes.

DOL I-9 Employment Eligibility Verification

Department of Homeland Security (DHS) and Department of Labor (DOL)
May Apply
Renewal: one time
Type: permit

All employers, including chiropractic LLCs, must complete Form I-9 for each employee to verify identity and work authorization. E-Verify is not mandatory unless federal contract requires it.

DOL Fair Labor Standards Act (FLSA) compliance

U.S. Department of Labor (DOL)
May Apply
Fee: $0.00-$0.00
Renewal: one time
Type: permit

Applies to chiropractic clinics with employees. Requires payment of federal minimum wage ($7.25/hr), overtime (1.5x regular rate after 40 hours), and proper classification of exempt vs. non-exempt employees. Chiropractors themselves are typically exempt professionals under FLSA §13(a)(1).

DOL Family and Medical Leave Act (FMLA) Compliance

Department of Labor (DOL)
May Apply
Renewal: one time
Type: permit

Requires eligible employees to be granted up to 12 weeks of unpaid, job-protected leave for qualifying medical or family reasons. Most small chiropractic practices are exempt due to employee count, but must post required notice (available at https://www.dol.gov/sites/dolgov/files/whd/posters/fmla.pdf).

FDA Regulation of Medical Devices Used in Practice

Food and Drug Administration (FDA)
May Apply
Renewal: one time
Type: license

Chiropractors commonly use Class I or II medical devices (e.g., TENS units, adjusting tools). These must be used in accordance with FDA labeling and not modified for unapproved uses. Devices must be registered with FDA if manufactured or reprocessed, but not for standard clinical use.

FTC Health Breach Notification Rule Compliance

Federal Trade Commission (FTC)
May Apply
Renewal: one time
Type: filing

Applies to vendors of personal health records not governed by HIPAA. While most chiropractic practices are HIPAA-covered entities, those using non-HIPAA-compliant digital tools for patient data may fall under FTC jurisdiction. Requires notification to patients, FTC, and media (if >500 affected) in case of breach.

HIPAA Compliance for Protected Health Information

Department of Health and Human Services (HHS)
May Apply
Renewal: one time
Type: permit

Chiropractic practices that bill electronically (e.g., to Medicare, insurance) are considered covered entities under HIPAA. Must implement administrative, physical, and technical safeguards for PHI, conduct risk assessments, train staff, and provide patient notices of privacy practices.

Biennial Filing of Statement of Information for LLC

California Secretary of State
Required
Fee: $20.00-$20.00
Renewal: one time
Type: filing

Required for all California LLCs. Filed with the CA Secretary of State. Example: If formed in March 2024, initial due by June 30, 2024; next due by March 31, 2026.

California Chiropractic License Renewal

California Board of Chiropractic Examiners (CBCE)
Required
Fee: $155.00-$155.00
Renewal: one time
Type: license

All licensed chiropractors must renew every two years. Renewal cycle determined by birth month and license number. Online renewal available via BreEZe system.

Chiropractic Continuing Education (CE) Requirement

California Board of Chiropractic Examiners (CBCE)
Required
Fee: $100.00-$500.00
Renewal: one time
Type: permit

Must be completed during each biennial renewal cycle. Courses must be approved by CBCE. Documentation must be retained for 4 years.

Federal Employer Identification Number (FEIN) – Annual Federal Tax Filings

Internal Revenue Service (IRS)
May Apply
Renewal: one time
Type: filing

Single-member LLCs taxed as disregarded entities report income on owner’s personal return (Form 1040). Multi-member LLCs file Form 1065. Payroll taxes (Form 941) due quarterly. Form 940 (federal unemployment) due by January 31 annually.

California State Tax Filings (FTB)

California Franchise Tax Board (FTB)
Required
Fee: $800.00-$800.00
Renewal: one time
Type: filing

All California LLCs must pay $800 annual franchise tax, except in the first year of operation (waived under SB 147 as of 2022–2023; reinstated Jan 1, 2024). Subsequent years: $800 due annually.

Workers’ Compensation Insurance

California Department of Industrial Relations (DIR)
May Apply
Fee: $1000.00-$5000.00
Renewal: one time
Type: certificate

Mandatory for all employers in California, even if only one employee. Coverage must be from an approved insurer or through self-insurance (rare for small businesses).

Display of Chiropractic License and Other Postings

California Board of Chiropractic Examiners (CBCE)
Required
Renewal: one time
Type: permit

Original, unexpired license must be displayed at the principal place of business. Also required: 'This office complies with AB 2536' sign if treating minors, and federal/state labor law posters.

Labor Law Postings (Federal and State)

California Labor Commissioner’s Office
May Apply
Renewal: one time
Type: permit

Required posters include CA Paid Family Leave, CA Minimum Wage, CA Workers’ Comp, Federal OSHA, and EEOC notices. Must be in conspicuous location accessible to employees.

Business License Renewal (Local)

Local City or County Government (e.g., City of San Diego)
May Apply
Fee: $50.00-$200.00
Renewal: one time
Type: license

Most California cities require a business operations tax certificate. Contact local city hall or county clerk for exact deadline and fee. Example: City of San Diego renews July 1 annually.

Fire Inspection and Compliance

Local Fire Department (jurisdiction-specific)
May Apply
Fee: $200.00-$200.00
Renewal: one time
Type: permit

Required under California Fire Code (Title 19). Frequency determined by local authority having jurisdiction (AHJ). Includes egress, fire extinguishers, alarms, and hazardous materials storage.

California OSHA (Cal/OSHA) Injury and Illness Prevention Program (IIP)

California Division of Occupational Safety and Health (Cal/OSHA)
May Apply
Renewal: one time
Type: permit

Required written program includes training, hazard communication, incident investigation, and recordkeeping. Must be accessible to employees.

Cal/OSHA Recordkeeping (Form 300, 300A, 301)

California Division of Occupational Safety and Health (Cal/OSHA)
May Apply
Renewal: one time
Type: permit

Exempt if fewer than 10 employees or in low-risk industry (chiropractic may qualify for exemption). Form 300A must be certified and posted even if no incidents occurred.

HIPAA Privacy and Security Rule Compliance

U.S. Department of Health and Human Services (HHS)
May Apply
Fee: $500.00-$2000.00
Renewal: one time
Type: permit

Chiropractors are HIPAA-covered entities. Must conduct annual risk analysis, train staff, maintain Business Associate Agreements, and report breaches. Enforced by OCR.

Business Records Retention

Internal Revenue Service (IRS)
Required
Fee: $0.00-$0.00
Renewal: one time
Type: permit

Includes tax returns, payroll records, licenses, CE certificates, HIPAA documentation, and patient records (retain 7 years under CA law).

Controlled Substance Registration (DEA) Renewal

U.S. Drug Enforcement Administration (DEA)
May Apply
Fee: $931.00-$931.00
Renewal: one time
Type: license

Most chiropractors do not require DEA registration. Only needed if prescribing muscle relaxants or other Schedule IV drugs (uncommon).

California Medical Board Controlled Substance Prescribing CME

California Medical Board (CMB) – applies to all licensed prescribers
May Apply
Fee: $0.00-$200.00
Renewal: one time
Type: permit

Effective July 1, 2022. Required for first-time license renewal after initial DEA registration. Not routinely applicable to chiropractors.

Step-by-Step Compliance Guide

  1. First, register your Limited Liability Company (LLC) with the California Secretary of State, which currently costs $70.00.
  2. Obtain a Chiropractic License from the California Board of Chiropractic Examiners, with a fee of $308.00.
  3. Secure a Chiropractic Facility Permit from the California Board of Chiropractic Examiners, which requires a $140.00 fee.
  4. File for an Employer Identification Number (EIN) with the IRS; this is a free service.
  5. Comply with FTC regulations regarding advertising claims for chiropractic services, with no initial fee.
  6. Ensure ADA Title III compliance for your practice as a public accommodation, with costs varying depending on necessary modifications.
  7. Fulfill federal tax obligations by filing income and estimated taxes with the IRS, with no initial fee.
  8. Maintain professional liability or Errors and Omissions (E&O) insurance, with premiums ranging from $500.00 to $2000.00.

Common Mistakes to Avoid

  • Forgetting to renew your Chiropractic Facility Permit with the California Board of Chiropractic Examiners can lead to penalties.
  • Failing to file the Statement of Information (Form LLC-12) annually with the California Secretary of State can result in penalties.
  • Ignoring FTC advertising claim enforcement can lead to legal action and fines.
  • Neglecting ADA compliance can result in lawsuits and significant remediation costs.
  • Assuming general liability insurance is optional; it’s crucial for protecting your business from potential claims.

Frequently Asked Questions

What is the Statement of Information (Form LLC-12)?

This form is required by the California Secretary of State to keep your LLC’s information current, including your principal business address and agent for service of process. It must be filed initially and then biennially, with a $20.00 fee each time.

What are the continuing education requirements for chiropractors in California?

The California Board of Chiropractic Examiners requires chiropractors to complete continuing education courses to maintain their license. The cost for these courses can range from $100.00 to $500.00, and they must be completed before each renewal period.

Does the IRS require any specific filings for LLCs?

Yes, even as an LLC, you have federal income and self-employment tax obligations that must be filed with the IRS. The specific fees associated with these filings vary depending on your income and business structure.

What does ADA Title III compliance entail for a chiropractic practice?

ADA Title III requires that your practice be accessible to individuals with disabilities, including accessible parking, entrances, and exam rooms. Costs for compliance vary widely depending on existing conditions and necessary modifications, potentially ranging from $1500.00 to $5000.00.

What is the cost of professional liability insurance?

Professional liability, also known as Errors and Omissions (E&O) insurance, is required and can range from $1000.00 to $3000.00, depending on your coverage needs and provider.

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