The average salary for a Paramedic in Fresno is 64,568 $ per year on a 40-hour full-time equivalent, or 5,381 $ gross per month and 31.04 $ gross per hour. The reported full-time salary range is 39,000 $ to 105,000 $. The analysis is based on 29 salary reports from workers and employers in Fresno. Part-time salaries are proportionally converted to 40 weekly hours so the values are comparable.
| Date | Job title | Weekly hours | Reported gross/year | Normalized to 40h/year | Gross/month 40h | Gross/hour 40h | Note |
|---|---|---|---|---|---|---|---|
| 07/01/2026 | Clinical Paramedic / Program Coordinator | 40.0 h | 87,000 $ | 87,000 $ | 7,250 $ | 41.83 $ | I coordinate a clinical outreach program and still respond to field calls. I have over ten years of experience and split my time between direct care and program management. |
| 06/21/2026 | Paramedic (Part-time Fire Reserve) | 20.0 h | 24,000 $ | 48,000 $ | 4,000 $ | 23.08 $ | I work as a part-time reserve fire-paramedic and pick up extra shifts when needed. I average around 20 hours per week while holding another full-time job. |
| 05/09/2026 | Self-Employed Medical Transport Paramedic | 36.0 h | 60,000 $ | 66,667 $ | 5,556 $ | 32.05 $ | I run a small non-emergency medical transport service as a self-employed paramedic. I handle scheduling, billing, and patient care and average about 36 hours weekly. |
| 03/12/2026 | Paramedic (Experienced, Night Shift) | 40.0 h | 68,000 $ | 68,000 $ | 5,667 $ | 32.69 $ | I work the night shift for a large regional EMS provider. Night differentials and frequent overtime have increased my annual earnings; I'm full time with eight years' experience. |
| 01/30/2026 | Flight/Transport Paramedic (Contract) | 40.0 h | 105,000 $ | 105,000 $ | 8,750 $ | 50.48 $ | I'm a contract flight and long-range transport paramedic with extensive critical care experience. My schedule is full time on rotations with significant overtime built into my annual compensation. |
| 11/19/2025 | Paramedic (Telehealth Community Program) | 38.0 h | 65,000 $ | 68,421 $ | 5,702 $ | 32.89 $ | I work full time in a hybrid role combining field response with telehealth follow-ups for high-utilizer patients. I coordinate care plans with primary care and social services. |
| 08/07/2025 | Senior Fire Paramedic / Acting Lieutenant | 44.0 h | 98,000 $ | 89,091 $ | 7,424 $ | 42.83 $ | I'm a senior fire department paramedic who occasionally acts in a lieutenant role overseeing a station. My duties include crew supervision and incident command when assigned. |
| 05/23/2025 | Paramedic (Private Ambulance, Small Company) | 40.0 h | 57,000 $ | 57,000 $ | 4,750 $ | 27.40 $ | I work full time for a small private ambulance business that handles both emergency and non-emergency transports. I do administrative tasks in addition to field care. |
| 02/10/2025 | Paramedic (County Relief / Float) | 40.0 h | 62,000 $ | 62,000 $ | 5,167 $ | 29.81 $ | I serve as a relief/float paramedic for county deployment, filling in for multiple stations. I have seven years of experience and handle a broad variety of calls. |
| 11/28/2024 | Lead Critical Care Paramedic | 40.0 h | 90,000 $ | 90,000 $ | 7,500 $ | 43.27 $ | I lead a team of critical care paramedics at an interfacility transport company. I oversee protocols and training and work full time in a mix of clinical and administrative duties. |
| 08/14/2024 | Paramedic Supervisor | 45.0 h | 84,000 $ | 74,667 $ | 6,222 $ | 35.90 $ | I supervise field operations for a county contractor and handle incident reviews, staffing, and vendor coordination. My role is managerial and averages 45 hours per week. |
| 04/29/2024 | Experienced Paramedic | 40.0 h | 73,000 $ | 73,000 $ | 6,083 $ | 35.10 $ | I have nine years of experience and work full time for a large EMS provider in Fresno. I frequently take overtime shifts and assist with clinical training programs. |
| 01/18/2024 | Paramedic (Part-time Community Paramedicine) | 28.0 h | 32,000 $ | 45,714 $ | 3,810 $ | 21.98 $ | I work part time in a community paramedicine pilot program, performing home visits and chronic-care follow-ups. I average about 28 hours per week and coordinate with social services. |
| 11/03/2023 | Paramedic (Private Practice/Independent Transport) | 38.0 h | 54,000 $ | 56,842 $ | 4,737 $ | 27.33 $ | I run independent non-emergency ALS transports for a small private practice. I am self-employed and manage scheduling and billing on top of patient care duties. |
| 06/20/2023 | Critical Care Flight Paramedic | 40.0 h | 98,000 $ | 98,000 $ | 8,167 $ | 47.12 $ | I work as a flight-critical care paramedic based in the region supporting interfacility and trauma transfers. I have over ten years of critical care and flight experience and work full time on a flight schedule. |
| 02/05/2023 | Senior Paramedic / Shift Supervisor | 44.0 h | 78,000 $ | 70,909 $ | 5,909 $ | 34.09 $ | I'm a senior paramedic who also serves as a shift supervisor at a medium-sized EMS agency. I handle scheduling and quality assurance in addition to field calls. |
| 10/11/2022 | County EMS Paramedic | 40.0 h | 70,000 $ | 70,000 $ | 5,833 $ | 33.65 $ | I work for a county-level ambulance contract and have six years of experience. The position includes required continuing education and occasional supervisory duties during shifts. |
| 03/30/2022 | Advanced Life Support (ALS) Paramedic | 40.0 h | 63,500 $ | 63,500 $ | 5,292 $ | 30.53 $ | I've been an ALS paramedic for five years with a large regional EMS provider. I work full time and often take higher-acuity calls; overtime is common and part of my annual salary. |
| 11/15/2021 | Private Ambulance Paramedic (Part-time) | 30.0 h | 30,000 $ | 40,000 $ | 3,333 $ | 19.23 $ | I pick up part-time shifts with a private ambulance provider while holding another healthcare job. I average 30 hours weekly and perform ALS-level care on scene and during transport. |
| 07/22/2021 | Paramedic Instructor | 40.0 h | 58,000 $ | 58,000 $ | 4,833 $ | 27.88 $ | I teach paramedic courses part of the week and work clinical shifts the rest. I have seven years of combined field and instructor experience and work full time between teaching and clinical duties. |
| 03/08/2021 | Fire Department Paramedic | 44.0 h | 78,000 $ | 70,909 $ | 5,909 $ | 34.09 $ | I serve as a firefighter-paramedic for a municipal fire department. My schedule includes longer administrative days and I supervise a small crew on station when assigned. |
| 11/02/2020 | Lead Paramedic / Field Training Officer | 42.0 h | 65,000 $ | 61,905 $ | 5,159 $ | 29.76 $ | I'm the lead paramedic and field training officer for a county contractor. I work a mix of shifts averaging 42 hours weekly and train new hires in ALS protocols. |
| 07/14/2020 | Critical Care Paramedic | 40.0 h | 72,000 $ | 72,000 $ | 6,000 $ | 34.62 $ | I transitioned into a critical care paramedic role with specialized training three years ago at a private critical care transport service. I'm full time and responsible for ventilated and ICU-level transfers. |
| 12/29/2019 | Hospital-Based Paramedic | 36.0 h | 48,000 $ | 53,333 $ | 4,444 $ | 25.64 $ | I work full time inside a hospital transport unit and average 36 hours per week. My role focuses on interfacility critical care transfers and I have five years of experience. |
| 09/17/2019 | Senior Paramedic | 40.0 h | 56,000 $ | 56,000 $ | 4,667 $ | 26.92 $ | I am a senior paramedic with eight years of field experience at a large regional ambulance service. I regularly mentor newer staff but do not have formal supervisory authority. |
| 12/03/2018 | EMT-Paramedic (Part-time) | 26.0 h | 26,000 $ | 40,000 $ | 3,333 $ | 19.23 $ | I work part time as a paramedic covering evening shifts while attending school. I have two years of experience and pick up 1–2 shifts per week. |
| 06/20/2018 | Ambulance Paramedic | 40.0 h | 45,500 $ | 45,500 $ | 3,792 $ | 21.88 $ | I work full time for a mid-sized private ambulance provider in Fresno. I have about four years of experience and handle high call volumes; I do not manage staff. |
| 11/05/2017 | Field Paramedic | 40.0 h | 42,000 $ | 42,000 $ | 3,500 $ | 20.19 $ | I've been a field paramedic for a county EMS contractor for two years. My responsibilities include patient assessment and medication administration; I'm full time and do not have managerial duties. |
| 08/12/2016 | Entry-Level Paramedic | 40.0 h | 39,000 $ | 39,000 $ | 3,250 $ | 18.75 $ | I started as an entry-level paramedic three years ago at a small private ambulance company. I work full time on rotating 24/48 shifts and handle basic ALS calls; I don't supervise anyone. |
Fresno sits at the heart of California’s San Joaquin Valley, with a mix of urban neighborhoods, suburban communities like Clovis, and vast agricultural areas stretching into the Sierra foothills. That geography shapes everyday work for Paramedics in Fresno, California: calls range from dense city responses to long rural transports, with seasonal surges tied to extreme heat, wildfire smoke, agricultural activity, and heavy highway travel on corridors such as State Routes 41, 99, 168, and 180.
Paramedics here typically operate in an advanced life support system where fire departments provide first response and ambulance providers handle transport. The presence of Community Regional Medical Center (a major regional trauma center) and multiple busy emergency departments means frequent interfacility transfers and high-acuity cases, which can offer strong clinical exposure for new and experienced medics.
Fresno’s EMS system generally experiences steady hiring due to 24/7 staffing needs, normal turnover, and growing call volumes linked to population growth and an aging demographic. Employers often look for California Paramedic licensure, local accreditation through the Fresno County EMS Agency, and current certifications such as ACLS, PALS/PEPP, and PHTLS/ITLS. A clean driving record and background check are commonly required, and many roles involve 12- or 24-hour shifts.
Training pipelines support local demand. Fresno City College offers EMT and Paramedic education that can lead directly into area internships and field preceptorships. Once licensed, medics typically find opportunities across 911 response, interfacility transport, event standby, and specialized teams. Statewide, EMS demand is often supported by increased healthcare utilization, behavioral health needs, and interest in mobile integrated healthcare; some California systems continue to explore community paramedicine models, and Fresno-area agencies may adopt elements over time depending on local policy and funding.
Regional characteristics also influence workload. Summer heat waves can increase dehydration and heat-related emergencies. The agricultural industry contributes to trauma and occupational incidents, while proximity to national parks and outdoor recreation can drive seasonal rescue calls. Wildfire seasons in the broader Central California region may elevate respiratory complaints and require mutual aid or surge staffing.
Paramedics in Fresno typically work for a mix of ambulance providers, fire agencies, hospitals, and air medical programs. Examples include:
Entry-level Paramedics in Fresno can build experience quickly through a high volume of diverse calls. Many advance into roles such as Field Training Officer, clinical educator, shift supervisor, or QA/QI reviewer. With additional experience and certifications (e.g., FP-C/CCP-C), medics may pursue critical care ground or flight positions. Firefighter-paramedic careers provide another path, typically involving competitive testing and fire academy credentials.
Hospitals in the Fresno metro often employ Paramedics as ED technicians, in observation units, or on transport teams—useful roles for professionals considering nursing, PA, or advanced prehospital leadership down the line. Dispatch and communications center positions can broaden skill sets in system status management and incident coordination.
Because Fresno borders Madera, Kings, and Tulare counties, Paramedics can expand options by seeking reciprocity or local accreditation with neighboring EMS agencies, which may open doors to rural ALS, specialty rescue, or seasonal assignments. Continuing education is readily available through local colleges and employer programs, and staying current with California protocol updates, behavioral health response training, and MIH/community paramedicine developments can strengthen long-term prospects.
Overall, Fresno’s combination of urban density, regional referral hospitals, and wide rural catchment generally supports sustained demand for Paramedics. Professionals who are comfortable with varied environments, extended transports, and interagency coordination often find the Fresno area to be a strong place to launch or advance a prehospital career.
The average salary for a Paramedic in Fresno is 64,568 $ per year on a 40-hour basis, or 5,381 $ gross per month.
Part-time and full-time reports are normalized to a 40-hour workweek so salary reports can be compared fairly.
You can find more comparisons on the profession overview for Paramedic and the city overview for Fresno. They show reported cities or jobs with their difference from the average.
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