How to Choose an Acupuncturist in San Francisco (2026)

What separates a good acupuncturist from a great one, the questions to ask before you book, what it costs, and which San Francisco clinic fits which need. For our ranked list, see the best acupuncture clinics in San Francisco.

Updated November 20267 min read

Acupuncturist placing fine needles in an athlete's calf with a guide tube

The short answer

The best acupuncturist for you depends on what you need treated, your budget and how you plan to pay. Here's where we'd point a friend in San Francisco.

  • Sports injuries and athletesAcupuncture for Athletics, Cow Hollow. Rated 5.0 on Google from 98 reviews, led by Andrew Castellanos, L.Ac, with 25+ years treating athletes from the SF Ballet to MLB spring training.
  • Back, neck and joint painAcupuncture for Athletics. Three licensed acupuncturists who combine acupuncture, dry needling, cupping, cold laser and massage in one visit.
  • Early, late and weekend visitsAcupuncture for Athletics. Open 7:30am to 9pm, seven days a week.
  • Lowest cost, group settingSan Francisco Community Acupuncture, Valencia Street in the Mission. A community treatment room with sliding-scale fees.
  • Billed to insurance, inside a hospital systemUCSF Osher Center for Integrative Health, Mount Zion. Accepts insurance, and acupuncture needs a referral.

About this guide

We're Acupuncture for Athletics, a sports acupuncture clinic in Cow Hollow. We wrote this guide, so we aren't neutral.

We've listed ourselves for what we do best and pointed to other clinics for needs we don't serve. Details about other clinics come from their own websites in November 2026. Please check with them directly.

Updated November 2026

What makes a great acupuncturist

Six things worth checking before you book, whichever clinic you choose.

  1. A California license

    Acupuncturists in California are licensed by the California Acupuncture Board and use the letters L.Ac. You can check any license in a minute on the state's DCA License Search.

  2. Experience with your problem

    A sports injury, a fertility plan and long-term stress call for different skills. Ask how often they treat what you have, and look for it in their bio.

  3. A real assessment

    Good care starts with questions and a hands-on assessment, not straight to the needles. For pain and injury, that means watching how you move.

  4. Reviews that name the problem

    Look past the star rating. Many recent reviews that mention a specific condition and a practitioner by name tell you far more than a handful of five-star ratings.

  5. A clear plan

    After your first visit you should know what they think is going on, roughly how many sessions to expect, and when to come back.

  6. Honest referrals

    A good acupuncturist works alongside your doctor or physical therapist, and sends you for imaging or medical care when something needs it.

Questions to ask before you book

  • Are you licensed in California, and how long have you practiced?
  • How often do you treat my condition?
  • Is the first visit longer, and what happens in it?
  • Do you also offer dry needling, cupping or massage, or only acupuncture?
  • How many sessions do people with my problem usually need?
  • What does each visit cost, and do you take HSA or FSA cards?
  • Will you give me a superbill for my insurance?
  • Can you work with my physical therapist, doctor or coach?

Any clinic worth booking should be happy to answer these on the phone. We are: call us on (415) 646-1862.

Red flags

  • Promises of a cure or a guaranteed result
  • Pressure to prepay for a large package before your first visit
  • No questions about your health history or medications
  • Needles placed without a clear explanation of what and why
  • Advice to stop medical care your doctor prescribed

What acupuncture costs in San Francisco

Prices in San Francisco depend mostly on the setting. Community clinics treat several people at once in a shared room, which keeps fees low, often on a sliding scale. Private clinics give you a one-on-one room and a longer visit, often with hands-on work, and charge more for it. Hospital-based clinics usually bill your insurance.

At Acupuncture for Athletics, every visit is private and one-on-one. A first visit with assessment is $225 for 60 minutes, and follow-ups are $195 for 45 minutes. We accept HSA and FSA cards and all credit cards. We don't bill insurance, but we'll give you a superbill you can submit for possible out-of-network reimbursement.

Most patients with a new injury come in more often at first, then space visits out as it settles. We'll give you an estimate after your first visit.

Our prices

60-min initial acupuncture & assessment
$225
45-min acupuncture follow-up
$195
60-min acupuncture/massage combo
$225
75-min acupuncture/massage combo
$265
90-min acupuncture/massage combo
$300

HSA and FSA accepted. 24-hour cancellation policy.

Acupuncture for Athletics: our profile

Best for: sports injuries, back, neck and joint pain, recovery after surgery, and active people who want to keep training.

Who treats you: three California-licensed acupuncturists. Andrew Castellanos, L.Ac, CST, the owner, has more than 25 years of experience with athletes. Ali Hakimi, L.Ac, has worked in sports medicine and orthopedics since 2013. Suzanne Lange, DACM, L.Ac, CMT, has more than 20 years of experience and also treats fertility, pregnancy and women's health.

What a visit includes: an assessment of how you move, then acupuncture with dry needling, cupping, cold laser or sports massage as needed, all from the same practitioner.

Where and when: 2920 Webster Street in Cow Hollow, one block north of Union Street, near the Marina, Pacific Heights and the Presidio. Open 7:30am to 9pm, seven days a week. Parking and directions.

Not the right fit if: you need the clinic to bill your insurance directly, or you're looking for the lowest-cost group treatment. The clinics below are better for those.

Why San Francisco chooses us

Andrew Castellanos placing fine needles in an athlete's calf during a sports acupuncture session

Trusted by San Francisco athletes

Why San Francisco chooses us
Google rating
5.0
Google reviews
98
Years treating athletes
25+
MLB clubs at 2018 spring training
5

Andrew has worked with

  • University of San Francisco Sports Department
  • San Francisco Ballet
  • Alonzo King LINES Ballet
  • Impala Racing Team
  • Giants, Phillies, Red Sox, Pirates and Padres at 2018 MLB spring training

As a professional dancer, I rely heavily on Andrew throughout the performance season to literally fix me in order to get me back onstage.

Courtney ElizabethSoloist for The San Francisco Ballet

What our patients say

5.0 on Google from 98 reviews

I was introduced to Andrew by a friend who dubbed him as nothing short of magical. After experiencing his expertise firsthand, I couldn't agree more. Andrew's mastery of the human body and its intricacies truly feels like a kind of magic. I've been to other specialists for my chronic upper back and neck pain, but Andrew is different. He focuses on treating the actual problem, not just masking the symptoms. For the first time, I walked out of an acupuncture session and went back to exercising without feeling any pain. It was a game-changer. I feel as if I've been given a brand new back. Honestly, I never thought a life without back pain was possible until now. While I was also working with Andew some other health issues came up that couldn’t be diagnosed by western medicine. His thoughtful and holistic approach immediately made me feel understood and valued. Throughout our sessions, he would patiently explain the various points he was working on or the sensations I was experiencing, shedding light on what was going on internally within my body. Thanks to him, I now have a deeper appreciation for how imbalances in one area can send ripples throughout the entire system. He was able to find the root cause, guiding me slowly but surely on the path to recovery. I feel blessed to have met Andrew, he really has changed my life and I’m grateful for that.

Veronica J.Feb 2024 · Google review

I could not recommend Andrew enough! He has so much knowledge on the human body and can figure out quickly what areas need work. I went in with major back pain that kept me from lifting weights or running, and after a few sessions I am pain free.

Rachel L.Nov 2023 · Google review

Gosh, I'm so happy I found Andrew! Thanks to him, I avoided going down a surgery route for my injury! In June 2022, my left knee started acting up (my best guess is overcompensation for gluteal tendonitis I was treating) but I pushed through to backpack 264 miles on the John Muir Trail. When I finished my trek, my left knee was pretty unhappy and I couldn't even get in and out of my car without feeling like a jigsaw puzzle. I tirelessly saw dozens of providers over the next year - chiropractors, physical therapists, orthopedists, massage therapists, etc. All had their own theories - soleus muscle, calf strain, chronic exertional compartment syndrome, etc. The complexity in my case was that my pain was not in my knee itself - it was on the left side in between my knee cap and calf. Despite my knee MRI showing meniscus tears, inflammation, tendonosis, etc. the doctors insisted we treat the symptoms, not the MRIs. So, I got a calf MRI, hip MRI, and an EMG, all of which were negative. Then, one doctor recommended oral Prednisone, and he told me I should see results better than Advil for pain management. It did nothing. It wasn't until I was finally referred to one doctor who noticed something in my knee MRI and caught that there is excess fluid in my proximal tibiofibular joint (PBTJ), and that area tracks with where I feel my pain. To test his suspicion diagnostically, he recommended an ultrasound-guided cortisone injection in my PBTJ to see if that reduced my pain. The pain did decrease (which was good), but it wasn't gone. The doctors informed me issues concerning the PBTJ are rare, and that they needed to refer me to one of the only specialists in the country for this. That specialist happened to be in Minnesota, and when I checked his website, he was only seeing patients for surgery. I did not want surgery. I felt completely defeated, unsure where to go next. In May, I was recommended by someone who also had a challenging journey with injuries (and was able to return to running and hiking) to try acupuncture. I was surprised, since I had not considered Eastern Medicine before for a sports injury. The person specifically recommended I search for an acupuncturist who specializes in athletes, and that led me to find "Acupuncture for Athletics." :) My first appointment with Andrew was May 30, and he patiently listened to my whole ordeal and reviewed all of the documentation I brought (MRIs, doctor's notes, etc). He assured me he treats the root cause, which I appreciated because I did not want to do a band-aid fix only for this to return again, and that he has hope I can feel better. We started off with cupping along my left leg to encourage the inflammation to dissipate, and then we did needles in my leg. Oof, I remember one session when Andrew placed a needle near my PBTJ - I screamed SO loudly lol. But once all of the needles were in, it slowly felt like a meditative experience, and I was able to relax into it. Over my 7 sessions with Andrew, I began to notice the needles felt less painful. In the beginning, I remember feeling the pain just in walking over to Andrew's office. By the 6th session, I realized I wasn't thinking about my pain anymore. I did one more session to be sure, and I was in disbelief that I actually felt pain-free! We decided to go a month testing how the pain fared without regular sessions, and so far so good! The pain flares here and there, but in a MUCH less capacity than before. Throughout this whole process, Andrew was kind, patient, and determined. He was committed to solving the underlying issue, and he was flexible and accommodating to me - whether I wanted to address my left knee or start tackling similar pain that was creeping up on my right knee. Had it not been for Andrew, I would have likely chased surgery because I was running out of ideas. I appreciate you, Andrew! If you're nearing your wits' end with a chronic injury, please go see Andrew and give it a good ~5 sessions if you can. Wishing everyone out there good luck on their chronic pain journeys! You got this!

Safa F.Aug 2023 · Google review

I would strongly (strongly!) recommend Acupuncture for Athletics for both athletes and non-athletes alike. Not only does Andrew help with injury recovery, pain management, and stress relief, but he creates a relaxing and positive environment that enhances the work that he does and leads you to feel better both physically and mentally after each visit. And beyond acupuncture and massage, Andrew goes the extra mile to provide guidance on how to address specific pain-points and injuries, or to simply ensure that you are feeling and performing your best. Again, I can't recommend Acupuncture for Athletics enough!

Patrick H.Apr 2023 · Google review

Andrew applies his knowledge of the body and expert techniques to address affected muscles both for maintenance during training and related to injury. His combination of acupuncture and massage helps to open up areas and find the place to target. I have seen Andrew in the past for recovery post concussion and most recently for routine maintenance while training at a high level for my next marathon. I highly recommend Andrew and am lucky to have him as a part of my support team to stay healthy! - Katie Hynes, competitive runner -

Katie C.Apr 2023 · Google review

As an avid runner who is always training for an endurance race my body has a tendency to break down. Andrew is a legit magician. He’s able to get to the root off the problem quickly and I often don’t miss a beat with regards to my training. Marathon prep would not be possible otherwise.

Stacey F.Mar 2023 · Google review

I had a golfers elbow and my coach referred me to Andrew. He has been an amazing acupuncturist and worked on my right elbow, shoulder and arm for a couple of weeks. I have felt so much better just after the first session and going back really helps the blood flow so much better and my right arm, elbow and shoulder feels less tense and more relaxed. Definitely recommend this place, especially for athletes!

Pearly W.Mar 2023 · Google review

Andrew is the best. I’m a professional ballerina and his treatments helped me come back from a broken foot. When you see Andrew - you’re comforted by his knowledge, expertise, & strategy based treatment. Plus the clinic is so relaxing and warm. I have complete trust that he will help my aches and pains and keep me dancing for a long time.

Katherine B.Mar 2023 · Google review

There’s no one I trust more than Andrew to support my kids in their healing process if they’ve had a sports-related injury. As elite athletes, it’s so important that their knees, ankles and shoulders are well taken care of, and Andrew is our go-to for treatment of pain or injury and also guidance for best practices outside the treatment room to further help healing along. My daughter recently rolled her ankle and was ready for a painfully prolonged healing process when we took her into to see Andrew for a couple treatments before a tournament weekend. With his help, her recovery was amazing, allowing her to feel confident on her ankle. Thanks to Andrew, she was healthy enough to play without pain or exacerbating the injury. We are very grateful to have Andrew on speed dial when these types of injuries occur!

Nicole B.Feb 2023 · Google review

Andrew is a cornerstone of my care team. He successfully unwinds my ills before they can become chronic problems.

Caroline D.Feb 2023 · Google review

Other San Francisco options

For needs we don't serve, these are the places we'd suggest. Check details with each clinic before you book.

  • San Francisco Community Acupuncture228 Valencia Street, Mission District. Treatment in a shared community room with sliding-scale fees, plus private sessions. A good choice if cost is the main concern.
  • UCSF Osher Center for Integrative HealthMount Zion campus, 1545 Divisadero Street. Integrative care within UCSF Health that accepts insurance. Acupuncture needs a referral, so start with your doctor.

Choosing an acupuncturist: FAQ

Who is the best acupuncturist in San Francisco?

It depends on what you need. For sports injuries and pain, Acupuncture for Athletics in Cow Hollow is rated 5.0 on Google from 98 reviews and is led by Andrew Castellanos, L.Ac, who has treated athletes for the San Francisco Ballet, USF and MLB spring training. For the lowest cost, a community clinic is a better fit, and for insurance billing, a hospital-based clinic such as the UCSF Osher Center.

Who is the best sports acupuncturist in San Francisco?

Look for a licensed acupuncturist with years of experience treating athletes, an assessment that looks at how you move, and reviews from people with injuries like yours. At Acupuncture for Athletics, Andrew Castellanos has more than 25 years of experience and has worked on call for the San Francisco Ballet, Alonzo King LINES Ballet and the Impala Racing Team.

How do I check an acupuncturist's license in California?

Search their name on the California Department of Consumer Affairs License Search and choose the Acupuncture Board. It shows whether the license is current and any disciplinary history.

Does insurance cover acupuncture in San Francisco?

Some plans do, often with limits on the number of visits. Hospital-based clinics usually bill insurance. Many private clinics, including ours, don't bill insurance directly but give you a superbill to submit for possible out-of-network reimbursement, and accept HSA and FSA cards.

How much does acupuncture cost in San Francisco?

It depends on the setting. Community clinics charge less for treatment in a shared room. Private one-on-one visits cost more. At Acupuncture for Athletics, a 60-minute first visit is $225 and a 45-minute follow-up is $195.

Is there an acupuncturist near me open on weekends or in the evening?

Acupuncture for Athletics is open from 7:30am to 9pm, seven days a week, at 2920 Webster Street in Cow Hollow, close to the Marina, Pacific Heights and the Presidio. You can book online with the practitioner of your choice.

What's the difference between acupuncture and dry needling?

Dry needling targets trigger points in tight muscle, while acupuncture works with points across the body and a wider assessment. In California, dry needling is performed by licensed acupuncturists. See our dry needling page for more.

Ready to book?

Book a first visit at our Cow Hollow clinic, or call and we'll help you choose a practitioner.

Visit us in Cow Hollow

2920 Webster Street, between Union and Filbert. A short walk from the Marina, Pacific Heights and the Presidio.

Directions & parking

Address

Acupuncture for Athletics
2920 Webster Street
San Francisco, CA 94123
Gate code: in your booking confirmation email

Hours

Every day
7:30am – 9:00pm