Healthcare Provider Details

I. General information

NPI: 1376830059
Provider Name (Legal Business Name): AARON A. JOHNSTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2011
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 S DAKOTA AVE
VANDENBERG AFB CA
93437-6307
US

IV. Provider business mailing address

338 S DAKOTA AVE
VANDENBERG AFB CA
93437-6307
US

V. Phone/Fax

Practice location:
  • Phone: 805-605-3503
  • Fax:
Mailing address:
  • Phone: 808-606-4686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License Number23337
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number23337
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: