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

Dr. Harry Clifford Fornwalt III, MD

Individual provider Internal Medicine Physician · NPI 1306084173

Dr. Harry Clifford Fornwalt III, MD is an Internal Medicine in Orange, California. Graduated from University of California, Irvine, California College of Medicine in 2006, 20 years ago. Practices with The Regents of the University of California-Irvine, a 104-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
University of California, Irvine, California College of Medicine
Licensed in
CA
In the registry since
2009
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

101 The City Dr S
Orange, CA 92868-3201
Phone: (714) 880-7812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12401 Washington Blvd, Whittier, CA 90602-1006 — (562) 698-0811

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence A103430 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence A103430 (CA)

Record details

NPI number1306084173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 31, 2009
Last updated in NPPESApril 6, 2023
Certification dateApril 6, 2023

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice The Regents Of The University Of California-Irvine — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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