In California, some of the highest paying medical specialties include:

1. Neurosurgery: Neurosurgeons are specialized in the surgical treatment of the nervous system, including the brain, spinal cord, and nerves. They earn an average salary of $790,890 per year.
2. Orthopedic Surgery: Orthopedic surgeons specialize in the treatment of the musculoskeletal system, including bones, joints, ligaments, and tendons. They earn an average salary of $626,810 per year.
3. Cardiology: Cardiologists specialize in the diagnosis and treatment of heart conditions. They earn an average salary of $520,950 per year.
4. Gastroenterology: Gastroenterologists specialize in the diagnosis and treatment of digestive system disorders. They earn an average salary of $505,810 per year.
5. Dermatology: Dermatologists specialize in the diagnosis and treatment of skin, hair, and nail disorders. They earn an average salary of $478,060 per year.
6. Anesthesiology: Anesthesiologists specialize in administering anesthesia during surgical procedures. They earn an average salary of $469,590 per year.
7. Radiation Oncology: Radiation oncologists specialize in the treatment of cancer using radiation therapy. They earn an average salary of $454,190 per year.

It's important to note that salaries can vary based on factors such as experience, location, and employer.