Methadone Clinics in San Francisco, California
6 SAMHSA-certified opioid treatment programs operate inside San Francisco city limits. Each clinic below carries a current NPI on the CMS Medicare Provider OTP file. We list the operator-stated phone next to our verified intake line so you choose how to make contact.
6 verified clinics in San Francisco
Addiction Research AND Treatment IN
Bayview Hunters Point Foundation ME
City AND County OF SAN Francisco
Fort Help Mission INC
Westside Methadone Treatment Progra
San Francisco at a glance
836,321
Residents
46.7 sq mi
Land area
39.7
Median age
$141,446
Median household income
3.5%
Uninsured (civilian)
5.7%
Families below poverty
Source: U.S. Census Bureau, ACS 5-year estimates (2023).
Overdose context for San Francisco County
San Francisco County reported a model-based drug poisoning death rate of 52.6 per 100,000 residents in 2021 (95% CI 51 to 54.3). That sits 84.8% above the national county mean of 28.5 per 100,000.
201935.2
202045.6
202152.6
Three-year change (35.2 to 52.6): +17.4 per 100,000.
County-level estimates are reported at the county level, not the city level. Source: NCHS Drug Poisoning Mortality by County (CDC dataset rpvx-m2md), 2019 to 2021 model-based estimates. NCHS urban/rural classification: Large Central Metro.
Closest methadone clinic to San Francisco
Nearest verified opioid treatment program in California: Marin Treatment Center in San Rafael, about 32.9 miles (52.9 km) from San Francisco by straight-line distance. Driving time will run longer.
Why this matters for treatment access
San Francisco County ran a 2021 drug poisoning death rate of 52.6 per 100,000, well above the national county mean of 28.5. Uninsured rates here run low (3.5%), so commercial insurance acceptance matters. Ask each clinic which payers they bill. That works out to roughly 29,271 uninsured residents in San Francisco alone.
What to ask before you call
Methadone is a daily-dose program. That changes the questions you should be asking. Run through these before you commit to a clinic:
- What time does dosing start, and what time does it close? Daily methadone often means a 6am window five or six days a week.
- Which insurance plans do you bill? Medicaid coverage for OTPs varies by state plan and managed-care organization.
- How long does intake take from first call to first dose? In some states it is same-day. In others it can run a week.
- What is your take-home schedule? Federal rules let stable patients earn take-home doses over time. Clinic policy on how fast you earn them differs.
- Do you offer counseling on-site or do I coordinate it elsewhere?
If the in-city options do not fit
Closest alternative inside California: Marin Treatment Center in San Rafael, about 32.9 miles from San Francisco. Office-based buprenorphine is also available locally and does not require daily clinic visits.
Nearby cities with methadone clinics
Oakland (4 · 18.2km) San Rafael (1 · 26km) Walnut Creek (1 · 37.1km) Menlo Park (1 · 39.9km) Antioch (1 · 59.1km)
Need office-based treatment instead of a daily-dosed OTP? Many providers in San Francisco prescribe buprenorphine in office settings. See Suboxone providers in San Francisco.
Want a non-opioid alternative? See California Vivitrol providers for monthly extended-release naltrexone.
State-level access scoring, regulatory context, and the full directory live on the California methadone hub.