San Francisco, sourdough capital of the world, might sound like hostile territory for people with celiac disease. It’s actually the opposite: our database lists 11 verified spots, 9 of them fully dedicated — including rarities like a 100% gluten-free Italian trattoria and a brewery that has never seen a single barley grain. In the US, “gluten-free” labeling is regulated by the FDA (under 20 ppm) on packaged products, but there’s no national network of certified restaurants like in Italy — which is exactly why these one-by-one verified spots matter.

What the city has to offer

San Francisco's 11 verified spots, by type
Restaurants5
Bars2
Cafés2
Bakery1
Grocery1

Dedicated kitchens across every corner of the city

The first surprise is Clementina: San Francisco’s first 100% gluten-free Italian trattoria, born from its founders’ own experience with celiac disease. Pasta, pizza and a Roman-style focaccia made from a house flour blend have earned it praise from the local press. Another safe bet is Camino Alto (4.5★), which serves fully dedicated Californian cuisine with modern Mexican touches, complete with a wood-burning fireplace and a pet-friendly patio — perfect for a relaxed brunch.

In the Mission, Kitava goes beyond gluten: hearty bowls that are also dairy-free, soy-free and peanut-free, with genuine care around fryers and cross-contamination. In Presidio Heights, As Quoted leans into organic farm-to-table cooking, from bone broth to brunch waffles. On Chestnut Street, Asian Box makes made-to-order bowls, banh mi and curries from a fully gluten-free menu. And in the Sunset District, the Hawaiian counter Little Aloha (4.8★) serves spam musubi and loco moco from a dedicated kitchen, with no cross-contamination risk.

Drinking gluten-free: the local specialty

San Francisco is a great city to raise a glass without worry. Otherwise Brewing brews exclusively naturally gluten-free beers — quinoa, millet, buckwheat — without ever using barley, in a genuine dedicated taproom. On Haight Street, cocktail bar Stoa (4.6★) pairs its drinks with tacos, chicken wings and doughnuts, all gluten-free and dairy-free. To understand why even “gluten-removed” classic beer is still a problem, our gluten-free basics guide breaks it down.

A sweet stop at the Ferry Building

No trip to San Francisco is complete without the Ferry Building — and the good news is that the Mariposa Baking Company counter there sells bread, pastries and cakes from its 100% gluten-free bakehouse in Oakland, plus a small lunch menu.

Two “gluten-free menu” spots worth knowing

Our selection also includes two establishments that aren’t fully dedicated but have been verified for their serious policies. The Game Parlour (4.8★), a board game café-bar, offers a largely gluten-free menu built around waffles — with hundreds of games thrown in. And XICA, a family-run contemporary Mexican spot on Battery Street, follows a genuine gluten-free kitchen policy with careful attention to cross-contamination. In both cases, be sure to flag your celiac disease when ordering.

Our tips for when you’re there

  • The phrase to know: “I have celiac disease — is this prepared in a dedicated gluten-free kitchen?” It immediately signals the difference between a simple preference and a medical necessity — and local staff, used to a very active celiac community, adjust their response accordingly.
  • The spots are spread out: Mission, Haight, Marina, Sunset, Presidio Heights… plan your route around the map rather than counting on a single neighborhood.
  • Labels: the FDA “gluten-free” label (under 20 ppm) makes grocery shopping safe; at restaurants, our usual cross-contamination precautions still apply.

Explore all 11 spots

Every spot listed here has been verified at the source: existence, level of gluten-free care, and risks. All 11 are on the Nutrixe map — and if your favorite San Francisco find is missing, suggest it. They’re also listed together on our gluten-free restaurants in San Francisco page.

Figures accurate at the time of publication. The database grows every week: today's exact count is always on the map.