Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cristina Susana Wiese, MD

Individual provider Internal Medicine Physician · NPI 1710921564

Cristina Susana Wiese, MD is a Gastroenterology in Thousand Oaks, California. Graduated from New York Medical College in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Trained at
New York Medical College
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

325 Rolling Oaks Dr Ste 100
Thousand Oaks, CA 91361-1201
Phone: (805) 557-0452
Fax: (805) 557-0471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence A91425 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A91425 (CA)

Record details

NPI number1710921564
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 15, 2006
Last updated in NPPESJuly 25, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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