MAT Clinics in California: Methadone, Suboxone & Vivitrol Treatment
Compare methadone clinics, buprenorphine treatment and extended-release naltrexone options throughout California. Start with a city directory of 131 Medicare-enrolled opioid treatment program (OTP) locations across 95 cities, then learn how Medi-Cal, telehealth and local services may help you access care.
California often calls its licensed methadone programs Narcotic Treatment Programs (NTPs). This directory uses the CMS Medicare enrollment file, so it should not be read as an exhaustive list of every licensed program.
On this page
California MAT at a Glance
What this means: medication access exists in many California communities, but people outside these cities may need to consider office-based care, telehealth or an emergency-department bridge program.
Get Help Finding a MAT Clinic in California
Get help finding a treatment option
Talk through location, insurance and which medication may fit your needs with a treatment-navigation line.
Call (347) 591-7540This number reaches MATClinicGuide’s navigation line, not an individual clinic. Calls may be answered by or routed to participating treatment providers or navigation partners.
If you are in emotional crisis, call or text 988. For SAMHSA’s National Helpline call 1-800-662-4357. For a suspected overdose or immediate emergency, call 911.
Find MAT Clinics by City in California
Find medication-assisted treatment in California by browsing the cities below. Los Angeles County has 37 listed locations in total, compared with 11 in San Diego County and seven in Riverside County (CMS, September 2026). City counts refer specifically to Medicare-enrolled OTP locations—not every provider of buprenorphine or Vivitrol.
California cities with the most methadone OTP locations
Methadone and Narcotic Treatment Program directory: A–Z
Anaheim 1 OTP
Antioch 1 OTP
Ashland 1 OTP
Atascadero 1 OTP
Azusa 1 OTP
Bakersfield 5 OTPs
Banning 1 OTP
Calexico 1 OTP
Carmichael 1 OTP
Ceres 1 OTP
Chatsworth 1 OTP
Chico 1 OTP
Chula Vista 1 OTP
Colton 1 OTP
Corona 1 OTP
Costa Mesa 1 OTP
Delano 1 OTP
El Cajon 2 OTPs
El Centro 1 OTP
El Monte 1 OTP
Escondido 1 OTP
Eureka 1 OTP
Fairfield 1 OTP
Fresno 5 OTPs
Fullerton 1 OTP
Glendale 1 OTP
Hawaiian Gardens 1 OTP
Hayward 1 OTP
Hemet 1 OTP
Hesperia 1 OTP
Inglewood 2 OTPs
La Mirada 1 OTP
La Puente 1 OTP
Lancaster 1 OTP
Lodi 1 OTP
Long Beach 2 OTPs
Los Angeles 5 OTPs
Lynwood 1 OTP
Manteca 1 OTP
Marysville 2 OTPs
Menlo Park 1 OTP
Merced 1 OTP
Mission Viejo 1 OTP
Modesto 1 OTP
Moreno Valley 1 OTP
Murrieta 1 OTP
Newhall 1 OTP
North Hollywood 1 OTP
Norwalk 1 OTP
Oakland 3 OTPs
Oceanside 1 OTP
Ontario 1 OTP
Palm Springs 1 OTP
Palmdale 2 OTPs
Panorama City 1 OTP
Pasadena 1 OTP
Pico Rivera 1 OTP
Pomona 1 OTP
Porterville 1 OTP
Rancho Cordova 1 OTP
Redding 1 OTP
Redlands 1 OTP
Reseda 1 OTP
Riverside 1 OTP
Roseville 1 OTP
Sacramento 4 OTPs
San Diego 4 OTPs
San Francisco 6 OTPs
San Jose 1 OTP
San Marcos 1 OTP
San Martin 1 OTP
San Rafael 1 OTP
Santa Barbara 1 OTP
Santa Maria 1 OTP
Santa Paula 1 OTP
Santa Rosa 2 OTPs
Simi Valley 1 OTP
Stanton 1 OTP
Stockton 3 OTPs
Sun Valley 1 OTP
Tarzana 1 OTP
Tujunga 1 OTP
Tulare 1 OTP
Ukiah 1 OTP
Vallejo 1 OTP
Van Nuys 2 OTPs
Venice 1 OTP
Ventura 2 OTPs
Visalia 1 OTP
Vista 1 OTP
Walnut Creek 1 OTP
Watsonville 1 OTP
West Covina 1 OTP
West Sacramento 1 OTP
Wilmington 2 OTPs
Suboxone, buprenorphine and Vivitrol providers in California
Office-based buprenorphine treatment is available through some primary-care, psychiatry and addiction-medicine practices. Search FindTreatment.gov by ZIP code to explore treatment services, or discuss local options with a navigator. The CA Bridge program also helps patients start buprenorphine treatment through participating emergency departments.
Listings reflect CMS public federal data dated September 8, 2026. Confirm enrollment, clinic hours, intake requirements and insurance directly before visiting.
Medication-Assisted Treatment in California by Medication
Methadone clinics in California
California has 131 Medicare-enrolled OTP locations in this CMS directory, with the greatest concentration in Los Angeles County. Methadone for opioid use disorder is dispensed through certified OTPs, usually with closely supervised visits at the start. California licenses these programs as NTPs, while federal rules govern important aspects of medication delivery and treatment. A clinic can explain admission assessments, dosing visits and the process for earning take-home medication privileges. See how methadone treatment works and what an OTP is.
Suboxone doctors and buprenorphine providers in California
People looking for Suboxone doctors in California can start with an office-based prescriber, an addiction clinic or a participating CA Bridge emergency department. Buprenorphine can be prescribed outside a methadone OTP by a practitioner with the appropriate controlled-substance authority. The federal X-waiver requirement ended in 2023. California’s Medi-Cal program covers buprenorphine within its applicable benefits, and telehealth Suboxone visits may be possible when legal and clinically appropriate. Learn more about buprenorphine and Suboxone treatment and medications for opioid use disorder.
Long-acting injectable buprenorphine: Sublocade and Brixadi
California’s DMC-ODS requirements include long-acting injectable buprenorphine among the medications NTPs must make available. Sublocade and Brixadi are clinician-administered injections; the appropriate product and starting schedule depend on the medication’s labeling and an individual assessment. Some patients prefer injections rather than daily medication handling. Ask a local program whether it provides the specific product and how Medi-Cal authorization or pharmacy arrangements work. Read the Sublocade treatment guide.
Vivitrol and naltrexone in California
Vivitrol is extended-release injectable naltrexone. Unlike methadone and buprenorphine, it blocks opioid effects and generally requires a medically supervised opioid-free period before the first dose. This can make treatment initiation difficult for some patients and should be discussed with a clinician. Medi-Cal covers oral and long-acting injectable naltrexone under the DHCS DMC-ODS treatment framework. Learn about Vivitrol and naltrexone treatment.
| Medication | Where received | Typical starting visits | Medi-Cal |
|---|---|---|---|
| Methadone | Certified OTP / California NTP | Usually frequent or daily initially | Covered |
| Buprenorphine / Suboxone | Qualified outpatient prescriber or OTP | Follow-up depends on care plan | Covered |
| Sublocade / Brixadi | Trained clinician / participating program | Scheduled injections and follow-up | Covered under applicable DHCS services |
| Naltrexone / Vivitrol | Prescribing practice or treatment program | Assessment, opioid-free period; injections typically monthly | Covered |
Methadone (NTP/OTP) Rules in California
The California Department of Health Care Services (DHCS) licenses Narcotic Treatment Programs under Title 9, Division 4, Chapter 4 of California regulations; programs also follow applicable federal SAMHSA and DEA requirements. For someone entering a methadone program, the clinic will explain intake, assessments, dosing and safety checks. Ask when medication may begin and what identification or benefit information to bring.
Take-home doses, transfers and guest dosing
Federal OTP regulations updated in 2024 allow more individualized take-home decisions by clinical teams. California programs still apply their licensing and safety requirements. If you travel or move, ask about transfer records and guest dosing well before your trip; admission and guest arrangements are not automatic.
What to bring to your first NTP visit
- Photo identification if available; ask the clinic about alternatives.
- Medi-Cal or other insurance information and a medication list.
- Information about your current treatment and any recent methadone dose.
- Questions about transportation, work hours, childcare or accessibility needs.
Paying for MAT in California
Medi-Cal coverage for medication-assisted treatment in California
Medi-Cal is California’s Medicaid program and is administered by DHCS. California expanded Medicaid under the Affordable Care Act. Under Drug Medi-Cal Organized Delivery System (DMC-ODS) requirements, participating NTPs must offer methadone, buprenorphine including long-acting injections, and naltrexone. Covered services and the appropriate access pathway can vary by county and benefit arrangement.
| Service | Covered by Medi-Cal | Notes |
|---|---|---|
| Methadone for OUD | Yes | Through covered NTP services |
| Buprenorphine | Yes | Includes long-acting formulations in DMC-ODS requirements |
| Naltrexone / Vivitrol | Yes | Oral and long-acting injection addressed by DHCS |
| Outpatient SUD treatment | Yes | Subject to program and eligibility requirements |
| Residential SUD treatment | Yes | Subject to eligibility and program requirements |
DHCS BHIN 21-075 states that people should not be denied DMC-ODS treatment or required to taper medication to stay in the program. California’s DMC-ODS operates under CalAIM and its authorization continues through December 31, 2026. Ask your county or Medi-Cal managed care plan which provider network applies.
Medicare and OTP treatment
Medicare Part B has an opioid treatment program benefit for eligible patients. Take-home prescriptions dispensed through a pharmacy may instead fall under a drug-benefit arrangement, depending on the medication and plan. Confirm details before making appointments.
Private health insurance
Private insurance may pay for OUD medication and behavioral-health visits, but network status, pharmacy rules and out-of-pocket amounts vary by plan. Mental-health parity protections do not mean every clinician or formulation will be covered without conditions.
Options without insurance
If you do not have coverage, ask county behavioral-health services and local federally qualified health centers whether you qualify for Medi-Cal enrollment help, lower-cost appointments or other funded care. Ask for an itemized estimate before paying a clinic. For more help, read insurance coverage for MAT, how to verify benefits and treatment costs and insurance.
Get help finding a treatment option
Talk through location, insurance and which medication may fit your needs with a treatment-navigation line.
Call (347) 591-7540This number reaches MATClinicGuide’s navigation line, not an individual clinic. Calls may be answered by or routed to participating treatment providers or navigation partners.
Telehealth MAT in California
Telehealth Suboxone in California may be an option for eligible patients, but the clinician must follow federal and applicable California rules. Federal DEA/HHS telemedicine prescribing flexibilities for controlled medications currently run through December 31, 2026; these rules can change. A remote visit is not a promise that a prescription will be issued.
A remote clinician can assess whether buprenorphine is suitable and arrange follow-up when requirements are met. Methadone for OUD still must be provided through a certified OTP; a virtual appointment does not replace authorized methadone dispensing. Ask a provider about identity verification, pharmacies, in-person follow-up and insurance. See the telehealth MAT guide.
Opioid Overdose in California: Why Treatment Access Matters
California recorded 9,028 drug-overdose deaths in 2024, with an age-adjusted all-drug death rate of 21.7 per 100,000 (CDC NCHS, via USAFacts and KFF). The corresponding national rate was 23.1. The California opioid-related death rate was 13.5 per 100,000 in 2024, compared with a national opioid rate of 16.0.
California overdose death-rate trend
| Year | All-drug rate per 100,000 | Opioid rate per 100,000 |
|---|---|---|
| 2019 | 15.0 | 7.9 |
| 2020 | 21.8 | 13.7 |
| 2021 | 26.6 | 17.8 |
| 2022 | 26.9 | 18.4 |
| 2023 | 27.9 | 19.7 |
| 2024 | 21.7 | 13.5 |
Rates increased from 2019 through 2023 and declined in 2024. Every death represents a person, and treatment access, timely overdose response and naloxone remain essential. Read about naloxone and overdose prevention.
Areas of California With Limited Methadone Access
Twenty-six California counties have no Medicare-enrolled OTP location in the CMS list dated September 8, 2026. That does not mean these counties have no treatment: office-based buprenorphine practitioners, other state-licensed programs and hospital services can offer routes to care.
Far Northern California
Counties without a listed Medicare OTP: Del Norte, Siskiyou, Modoc, Lassen, Trinity, Tehama, Plumas, Glenn, Colusa, Sierra and Lake. People in this region can search nearby OTP listings in cities such as Redding, Chico, Eureka or Ukiah, while also asking about local buprenorphine providers. These are regional starting points, not guaranteed nearest locations or travel-time estimates.
Gold Country, Sierra Nevada and Eastern Sierra
Counties without a listed Medicare OTP: Nevada, El Dorado, Amador, Calaveras, Tuolumne, Alpine, Mariposa, Mono and Inyo. People in this region can search nearby OTP listings in cities such as Roseville, Sacramento, Stockton, Modesto or Merced, while also asking about local buprenorphine providers. These are regional starting points, not guaranteed nearest locations or travel-time estimates.
Central Valley and Central Coast
Counties without a listed Medicare OTP: Sutter, Madera, Kings, Monterey, San Benito and Napa. People in this region can search nearby OTP listings in cities such as Marysville, Fresno, Visalia, Tulare, Watsonville, San Martin, Vallejo or Santa Rosa, while also asking about local buprenorphine providers. These are regional starting points, not guaranteed nearest locations or travel-time estimates.
For people facing a long trip—especially in Mono or Inyo counties—telehealth assessment and local pharmacy access may reduce some travel needs. CA Bridge offers another possible entry point through participating emergency departments; if methadone is indicated, request help locating a certified NTP.
California Treatment Resources and Helplines
State Medicaid administrator and NTP licensing agency
Visit the DHCS website ↗Naloxone in California
The DHCS Naloxone Distribution Project offers free naloxone nasal spray to qualifying community organizations, including schools, first responders and veteran groups. Individuals may ask a pharmacy about naloxone, which is also sold over the counter nationally. California Health and Safety Code § 11376.5 provides limited protections for people who seek medical assistance in good faith during a drug-related overdose; it does not protect unrelated offenses.
National treatment and crisis resources
- SAMHSA National Helpline: 1-800-662-4357.
- FindTreatment.gov: Search for treatment by ZIP code.
- 988 Suicide & Crisis Lifeline: call or text 988.
- For an overdose or immediate danger, call 911.
MAT for Different Populations in California
Pregnant and postpartum people
People who are pregnant or postpartum can ask California NTPs and obstetric care teams to coordinate medication treatment. Methadone and buprenorphine are established treatment options in pregnancy, and stopping medication without medical advice can be risky. Ask about obstetric follow-up, newborn care and available support services.
Veterans
California veterans can ask their VA care team about medication for opioid use disorder or use the CMS directory to explore community NTP options. Availability and referral procedures vary by facility. Ask how VA benefits and other coverage apply before arranging an outside appointment.
Adolescents and young adults
Young people in California need developmentally appropriate medical care and clear explanations of consent and confidentiality rules. Ask a program whether it treats people in your age group, offers family support when appropriate and coordinates with primary care. Treatment choices should come from a qualified clinician.
People leaving jail or prison
DHCS Behavioral Health Information Notice 25-034 describes pathways to medication treatment in California prisons, county jails and youth facilities, including certain CalAIM pre-release services at facilities that meet readiness requirements. Programs may coordinate medication units, mobile treatment, courtesy dosing or carefully controlled take-home supply. Ask the facility’s discharge team to coordinate continuity of care before release.
Rural residents
For Californians living in counties without a Medicare-enrolled OTP on the CMS list, a practical plan may combine a distant NTP referral with a closer medical prescriber, when clinically suitable. Ask about transportation, telehealth eligibility, local pharmacies and emergency-department bridge services.
How to Choose a MAT Clinic in California
A useful California clinic is one that offers an appropriate medication, explains treatment steps clearly and respects your ability to make informed decisions. Ask these questions before committing to care.
Questions for a methadone NTP
- Are you licensed as a California NTP and certified as an OTP?
- Are new patient assessments available, and what happens at intake?
- How frequently must I attend for dosing at the beginning?
- What is your process for take-home medication and guest dosing?
- Do you accept my Medi-Cal county plan or other insurance?
Questions for a buprenorphine provider
- Do you prescribe buprenorphine or offer injectable formulations?
- Is an in-person appointment required for my situation?
- Which pharmacies or administration sites are used?
- What are the costs of assessment, medication and follow-up?
- Can you coordinate counseling or other supports if I want them?
What happens at the first visit?
- Discuss current opioid use, medical history and personal goals.
- Review medication options and safety considerations with a clinician.
- Confirm the treatment and follow-up plan, pharmacy or dosing site.
- Arrange practical support for insurance, transportation or additional care.
Supporting someone else? Read how to help a loved one with opioid use and the difference between MAT and MOUD.
Get help finding a treatment option
Talk through location, insurance and which medication may fit your needs with a treatment-navigation line.
Call (347) 591-7540This number reaches MATClinicGuide’s navigation line, not an individual clinic. Calls may be answered by or routed to participating treatment providers or navigation partners.
Frequently Asked Questions About California MAT Clinics
How many methadone clinics are in California?
The September 8, 2026 CMS Medicare enrollment list includes 131 distinct opioid treatment program locations in 95 California cities. That is a count of Medicare-enrolled OTP locations, not the total number of all DHCS-licensed Narcotic Treatment Programs. Use the city directory above and confirm acceptance of new patients directly.
Does Medi-Cal cover Suboxone in California?
Yes. Medi-Cal covers buprenorphine treatment within applicable coverage and program rules. California DHCS DMC-ODS requirements include buprenorphine among medications that participating NTPs must offer. Your provider and county benefit arrangement may affect where you receive treatment and how claims are processed.
Does Medi-Cal pay for methadone treatment in California?
Yes. Methadone treatment for opioid use disorder is a covered service under the relevant Medi-Cal substance-use treatment framework. Methadone for OUD must be dispensed through a certified OTP, called an NTP in California. Check which local program participates in your specific county plan.
Are there free methadone clinics in California?
An individual may have little or no out-of-pocket cost for covered methadone treatment depending on Medi-Cal eligibility and the treatment setting. The CMS directory does not establish that any specific clinic offers free care. Ask Medi-Cal or the clinic to review your benefits and ask county services about eligibility if uninsured.
Can I get telehealth Suboxone in California?
Telehealth buprenorphine visits may be possible under federal and California rules. Federal DEA/HHS prescribing flexibilities for controlled medications currently extend through December 31, 2026, but requirements can change and clinicians assess each patient individually. Methadone dispensing for OUD remains tied to certified OTPs.
Where can I find Vivitrol treatment in California?
California’s Medi-Cal DMC-ODS requirements include oral and long-acting injectable naltrexone. Ask an addiction-medicine clinician or treatment program about whether it administers Vivitrol and whether it is right for you. Starting naltrexone usually requires an opioid-free period under medical guidance.
Which California cities have the most Medicare-enrolled OTPs?
San Francisco has six CMS-listed OTP locations. Bakersfield, Fresno and the city of Los Angeles have five each; Sacramento and San Diego have four each. Los Angeles County has 37 listed locations across several cities, according to the September 2026 CMS list.
What if my California county has no methadone OTP?
Twenty-six California counties have no Medicare-enrolled OTP in the September 2026 CMS listing. People may still have access to other state-licensed programs, office-based buprenorphine or participating CA Bridge emergency departments. Use FindTreatment.gov and ask nearby OTPs about travel and transfer arrangements.
Can I begin buprenorphine in a California emergency department?
Some California emergency departments participating in CA Bridge provide low-barrier access to buprenorphine and patient navigators. According to UCLA Health in September 2025, CA Bridge had reached more than 80% of California emergency departments. Actual medication availability and referral support depend on the hospital and individual clinical assessment.
What should I bring to a California methadone clinic intake?
Bring any available identification, insurance or Medi-Cal details, your medication list and relevant treatment records. The California NTP will explain its own intake process, assessment and initial dosing plan. Ask ahead about accepted documents, transportation needs and possible appointment times.
Sources, Methodology and Editorial Standards
- CMS Medicare OTP Providers · September 8, 2026
- DHCS DMC-ODS Requirements · BHIN 21-075
- DHCS DMC-ODS materials
- DHCS BHIN 25-034 · October 2025
- DHCS Naloxone Distribution Project
- California Health and Safety Code § 11376.5
- CA Bridge / UCLA Health · September 2025
- KFF / CDC NCHS overdose death rates · 2019–2024
- USAFacts / CDC overdose deaths · 2024
Directory locations were compiled from the September 8, 2026 CMS Medicare OTP provider list, with repeated records for the same physical address consolidated. County grouping follows the listed city. Statistics cite their named reporting sources. MATClinicGuide.com does not own or operate the clinics listed here.
Medical disclaimer: This page provides education and treatment-navigation information, not diagnosis, a prescription or medical advice. A qualified clinician should advise you about medications and treatment decisions.
Referral disclosure: MATClinicGuide.com is an educational treatment-navigation resource, not a treatment provider. Our phone number connects to our navigation line, not directly to a directory clinic. Calls may be answered by, or routed to, participating treatment providers or navigation partners. Confirm details with any clinic before obtaining services. For an emergency call 911; for emotional crisis call or text 988.
Editorial policy · Medical disclaimer · Advertising and referral disclosure
MAT Clinics in Nearby States
Explore the complete treatment options by state directory for other locations.