California does not have enough physicians to meet the needs of its population. From 2013 to 2015, the total number of active patient care physicians in California declined, exacerbating an already critical situation. Though shortages exist in most specialties, they are most extreme in psychiatry and family medicine. Accessibility varies widely across geographic locations, with the Inland Empire, the San Joaquin Valley, and the Northern and Sierra regions experiencing the greatest paucity of physicians.