EMT Exam Prep / California
EMT — CA
How to Get Your EMT Certification in California
To become a certified EMT in California, you must pass the NREMT cognitive and psychomotor exams, then apply for state certification through California EMSA (local agency). Here's everything you need to know.
Certification Details
- Certifying Body
- California EMSA (local agency)
- Exam Provider
- NREMT or local written
- Passing Score
- 70%
- Exam Fee
- $50–100
- Recertification Cycle
- Every 2 years
- CE Hours Required
- 24 hours
Note: Always verify current requirements with California EMSA (local agency).
California EMT Notes
California EMT certification is issued by local Emergency Medical Services Agencies (LEMSAs) — Los Angeles County, San Diego County, etc. You must apply to your local LEMSA after passing the NREMT. This two-step process is unique to California.
About the NREMT Exam
The NREMT EMT cognitive exam is a computer-adaptive test (CAT) with 70–120 questions. The exam adapts based on your performance — you must demonstrate entry-level competency across all content areas including airway management, cardiology, trauma, medical emergencies, and EMS operations. The exam is administered at Pearson VUE test centers nationwide and costs $70 per attempt.
How to Get Your EMT Certification in California
- 1
Complete an approved EMT training program
Most states require 120–150 hours of EMT-Basic training from a state-approved program (community college, fire department, or private school).
- 2
Pass the NREMT cognitive exam
The NREMT EMT exam is computer-adaptive with 70–120 questions. You need to demonstrate competency at the entry-level EMT standard. The exam is administered at Pearson VUE test centers.
- 3
Pass the NREMT psychomotor exam
In addition to the written exam, you must pass a hands-on skills exam covering airway, patient assessment, and trauma. Contact your state EMS office for testing locations.
- 4
Apply for state certification
After passing both NREMT exams, apply for state certification through California EMSA (local agency). Processing times vary. You must be state-certified to work on an ambulance.
- 5
Recertify every 2 years
Maintain your certification with 24 hours of continuing education every 2 years. This includes mandatory topics in airway management, patient assessment, and trauma.