Masly Harsono, DDS, MS, DMD

Medicare standing: 1 flag on the record; Listed below.
Plans that list them: 1; 1 carrier
Office: 1

On the public record

Medicare does not list them as allowed to order and refer

Offices

1 location

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Harsono’s office at (408) 354-1717 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

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Plans whose provider directory lists this clinician

AARP Medicare Advantage from UHC CA-10 (HMO-POS)	UnitedHealthcare	Listed, may be out of date	Jun 10, 2026

California Medical Board record

Licence G64977 · Cancelled

Licence status: Cancelled · since 1989 · University of Southern California Keck School of Medicine.

License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Money from drug and device companies

$17 in 2021

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Industry payments by year

2021	1	1	None	$17
2020	2	3	None	$180
2019	3	11	None	$334

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

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Payments by company

Dentsply Sirona	Suresmile Aligners	$17	1 payment Meals for Suresmile Aligners · 2021-02-26 · $17

See the published payment

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Every published payment

Dentsply Sirona	Meals · 2021-02-26	Suresmile Aligners	$17

See earlier years (2020, 2019)

2020: $180

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Payments by company in 2020

Dentsply Sirona	Cerec	$100	1 payment Education for Cerec · 2020-11-11 · $100
PureLife	None	$80	2 payments Gift · 2020-11-04 · $40 Gift · 2020-11-04 · $40

2019: $334

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Payments by company in 2019

PureLife	None	$200	6 payments Gift · 2019-10-18 · $50 Gift · 2019-10-18 · $50 Gift · 2019-06-27 · $10 Gift · 2019-06-27 · $40 Gift · 2019-04-16 · $10 Gift · 2019-04-16 · $40
Straumann USA	None	$118	2 payments Meals · 2019-06-27 · $68 Education · 2019-06-27 · $50
Dentsply Sirona	Cerec	$16	1 payment Meals for Cerec · 2019-11-18 · $16

Professional record

NPI: 1669893731
Licence: CA 64977, MA DN1855466California G64977: Cancelled

More record details

Sole proprietor: Yes
Taxonomy: Federal specialty code 1223G0001X (1223G0001X)
Mailing address: 431 Monterey Ave Ste 6, Los Gatos, CA, 95030
NPI first listed: 2013-12-17
NPI last updated: 2025-12-14
NPI record certified: 2025-12-14

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 505 South Dr Ste 3, Mountain View, CA, 94040