Active NPI
Damon Christopher Corgiat, PH.D.
- Clinical Psychologist
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY34178
- Practice address
- 4280 Latham St Ste G
Riverside, CA 92501-1737 - Phone
- (909) 295-5805
- NPI assigned
- Apr 21, 2015
- Last updated
- Aug 12, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9133595-6010 | UT | |
| Clinical Neuropsychologist | 103G00000X | NU | ||
| Clinical Psychologist | 103TC0700X | PSY34178 | CA | Primary |
Addresses
Primary practice location
4280 Latham St Ste G
Riverside, CA 92501-1737
Mailing address
21766 Alvarez
Mission Viejo, CA 92691-1234
Phone (801) 808-7435
Other practice location 1
8300 Utica Ave Ste 245
Rancho Cucamonga, CA 91730-3852
Phone (909) 989-4055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4631 Teller Ave
Suite 100
Newport Beach, CA 92660-8105
Phone (949) 887-7187
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9133595-6010 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DC Corgiat LLC | Current | Accepting new patients | |
| Optum Behavioral Care of California, P.C. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of California, P.C. | Current | Accepting new patients | |
| Harbor Psychiatry & Mental Health, Professional Corporation | Current | Accepting new patients | |
| Gunn Behavioral Care of California, PC | Clinical Neuropsychologist | Past | Accepting new patients |
| M D Corgiat PA | Clinical | Past | Accepting new patients |
Locations
4631 Teller Ave
Ste 100
Newport Beach, CA 92660
Phone (949) 335-7500
2555 E Colorado Blvd
Pasadena, CA 91107
Phone (909) 989-4055
2555 E Colorado Blvd
Ste 101
Pasadena, CA 91107
Phone (909) 898-4055
8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055
1916 N 700 W
Ste 190
Layton, UT 84041
Phone (801) 820-6169
Interoperability endpoints
- damon.corgiat.1@28621.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Newport Beach, CA
- NPI 1780050054
-
- Counselor
- Layton, UT
- NPI 1083093702
-
- Clinical Psychologist
- Rancho Cucamonga, CA
- NPI 1417718297
-
- Clinical Social Worker
- Costa Mesa, CA
- NPI 1447137740
-
- Psychologist
- Rancho Cucamonga, CA
- NPI 1669734604
-
- Clinical Psychologist
- Ogden, UT
- NPI 1750550075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1205223849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21766 ALVAREZ",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926911234",
"telephone_number": "801-808-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4280 LATHAM ST STE G",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011737",
"telephone_number": "909-295-5805"
}
],
"practiceLocations": [
{
"address_1": "8300 Utica Ave Ste 245",
"address_purpose": "LOCATION",
"city": "Rancho Cucamonga",
"state": "CA",
"postal_code": "917303852",
"country_code": "US",
"telephone_number": "909-989-4055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORGIAT",
"first_name": "DAMON",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-21",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "9133595-6010",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY34178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.