California physician loans · Cornerstone First Mortgage · NMLS #173855 Call Mike Certo · (480) 296-6513 · mcerto@cfmtg.com
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Physician loans in San Diego

Program and regulatory figures verified October 5, 2026. Details change; confirm your scenario with us.

By Mike Certo, Cornerstone First Mortgage · NMLS #260555 ·

San Diego catches people out. It looks like a high-cost California market, it prices like one, and the federal limit does not treat it as one.

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★ The limit that surprises San Diego buyers

California has ten high-cost counties carrying the $1,249,125 ceiling: Alameda, Contra Costa, Los Angeles, Marin, Orange, San Benito, San Francisco, San Mateo, Santa Clara and Santa Cruz.

San Diego is not on that list. Its 2026 one-unit conforming limit is the $832,750 baseline — the same figure that applies in 41 of California's 58 counties.

San Diego
Typical value (2026-08-31)$930,785
County conforming limit$832,750
Typical home vs the limit★ $98,035 over
Mean days to pending42

So an ordinary San Diego purchase is already a jumbo purchase on conventional financing, at a price that in Los Angeles or San Francisco would sit well inside the limit. Same state, same prices, different federal treatment.

What that does to the file

It moves San Diego into the same category as San Jose, for a different reason. Above $832,750 a conventional loan here is jumbo — heavier reserves, a larger deposit, mortgage insurance or a bigger down payment.

The physician structure reaches $2M with no monthly PMI, which is $1,167,250 past the local limit. In San Diego that is the widest gap in the state, precisely because the baseline is low relative to the prices. The gap by county.

UC San Diego Health

The region's academic anchor, and one of the few California systems that publishes its own numbers: 93 ACGME-accredited training programmes and 1,100 trainees, per UC San Diego Health.

That is a substantial cohort arriving and rotating on fixed dates into a market that clears in 42 days and prices above its own conforming limit.

San Diego also carries a large military medical presence and a significant biotech and research sector, so the physician population here is less purely academic than the Bay Area's.

The debt, as everywhere

A physician programme can qualify you on your documented income-driven payment; conventional counts 1% of the balance under Fannie Mae B3-6-05. Against a $930,785 typical price, a $3,000 phantom payment on $300,000 of training debt is usually the binding constraint.

And California's physician loan-repayment programmes are closed until 2027, so there is no state offset available this year. Status and dates.

What to settle before you look

  • Confirm the $832,750 limit applies — it does, and it is lower than people expect here.
  • Establish how your student debt will be counted, because it decides the price you can reach.
  • If your start date is fixed, get the financing settled before the search. 42 days is not long.

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Frequently asked questions

What is the conforming loan limit in San Diego County?

$832,750 for a one-unit property in 2026. San Diego is not one of California's ten high-cost counties, so it sits at the national baseline rather than the $1,249,125 ceiling.

Is a typical San Diego home above the conforming limit?

Yes. The typical value was $930,785 as of 2026-08-31, which is $98,035 above the $832,750 baseline limit that applies in San Diego County.

How many residency programs does UC San Diego Health have?

UC San Diego Health states it operates 93 ACGME-accredited training programmes with 1,100 trainees.

Why would a San Diego physician need a physician loan?

Because the typical home price sits above the county's $832,750 conforming limit, making an ordinary purchase a jumbo purchase on conventional financing. The physician structure reaches $2 million with no monthly PMI, which is $1,167,250 past the local limit.

Mike Certo · NMLS #260555 · Cornerstone First Mortgage NMLS #173855 · Equal Housing Lender. Educational content, not a loan commitment and not legal, tax, or licensure advice. Physician-loan program terms, eligible degrees, and overlays are set by the lender and change; California loan-repayment program terms and application cycles change too. Confirm your scenario with us and your program administrator. All loans are subject to borrower and property qualification, including credit and income review.