Little Legacy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

LITTLE LEGACY

Practice address

16885 W Bernardo Dr Ste 107
San Diego, CA 92127-1619

Phone

(858) 397-4300

NPI assigned

Sep 9, 2025

Last updated

Sep 9, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jessica Lontayo, M.S. OTR/L, CBISNPI 1972012268

Title

Owner

Phone

(858) 397-4300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Lynne Lontayo

  • Occupational Therapist
  • La Jolla, CA
  • NPI 1972012268
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1568343291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16885 W BERNARDO DR STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271619",
            "telephone_number": "858-397-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16885 W BERNARDO DR STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271619",
            "telephone_number": "858-397-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE LEGACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "LONTAYO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-397-4300",
        "authorized_official_credential": "M.S. OTR/L, CBIS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Listvinsky, LCSW
• Andrea Lynn Vecta Litonjua
• Larisa Yuryevna Litovko
• Rachel Litsas, COTA
• Abigail Litthachack
• Little Mango Speech Therapy, Inc.
• Little Roots Occupational Therapy
• Little Rose Speech Therapy, Inc.
• Little Star Birth Services
• Little Trailblazers OT

• Early Intervention Provider Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Early Intervention Provider Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.