Active NPI
CHCM, Inc.
- General Acute Care Hospital
- Costa Mesa, CA
National Provider Identifier
1922039205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- CHCM, INC.
- Practice address
- 301 Victoria St.
Costa Mesa, CA 92627-1995 - Phone
- (949) 574-3328
- Fax
- (949) 574-3320
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry Weiss
- Title
- Director/President
- Phone
- (562) 923-9449
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 06 0000 100 | CA | |
| General Acute Care Hospital | 282N00000X | CA | Primary |
Addresses
Primary practice location
301 Victoria St.
Costa Mesa, CA 92627-1995
Mailing address
301 Victoria St
Costa Mesa, CA 92627-1995
Phone (949) 574-3328
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP40543K | Medicaid | CA | |
| HSP30543K | Medicaid | CA | |
| HSM30543K | Medicaid | CA |
Other names 1
- dba College Hospital Costa Mesa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041109000876 | CA | Part A Provider - Hospital | 0042273187 | Practice locations: Costa Mesa, CA |
Hospital certification: CCN 050543
- Legal name
- CHCM, INC.
- Doing business as
- COSTA MESA MEDICAL CENTER HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Aug 1, 1976
- Last certification
- Jul 24, 2019
- Beds
- 122
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation
- Incorporated
- Sep 1, 1987 in CA
- Enrollment address
- 301 Victoria St
Costa Mesa, CA 92627-1995 - Hospital subgroups
- Acute care
Care Compare: Hospital
Medicare Care Compare- Listed as
- College Hospital Costa Mesa
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- No
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Barry J Weiss | 5% Or Greater Direct Ownership Interest | Oct 1, 2004 | |
| Esther Weiss | 5% Or Greater Direct Ownership Interest | Jan 1, 2020 | 10% |
| Warren Bradley | W-2 Managing Employee | Mar 21, 2023 | |
| College Hospital Group,Inc. | 5% Or Greater Direct Ownership Interest | Oct 1, 2004 | |
| Simpson Weiss | Corporate Director | Apr 19, 2005 |
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
Practitioners & affiliated clinicians
Affiliated clinicians 15
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Psychiatric/Mental Health Nurse Practitioner
- Riverside, CA
- NPI 1407682875
Hospital
-
- Psychiatric/Mental Health Nurse Practitioner
- Irvine, CA
- NPI 1356069900
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1922039205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 VICTORIA ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271995",
"telephone_number": "949-574-3328",
"fax_number": "949-574-3320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 VICTORIA ST.",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271995",
"telephone_number": "949-574-3328",
"fax_number": "949-574-3320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHCM, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "DIRECTOR/PRESIDENT",
"authorized_official_telephone_number": "562-923-9449"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "06 0000 100",
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40543K",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP30543K",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSM30543K",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dba College Hospital Costa Mesa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.